Organization
HIS GIFTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA MARTREICE FERGUSON (DIRECTOR)
(310) 420-3512
Entity
Organization
Contact information
Practice address
12204 SOUTH SAN PEDRO STREET LOS ANGELES, CA 90061, 10910 LONG BEACH BLVD SUITE 103, LYNWOOD, CA 90262
(310) 420-3512
Mailing address
12204 SOUTH SAN PEDRO STREET LOS ANGELES, CA 90061, 10910 LONG BEACH BLVD STE 103, LYNWOOD, CA 90262
(310) 420-3512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS14553
CA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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