Individual
MR. JIMMY LEE GAFFENEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5318 CRENSHAW BLVD, LOS ANGELES, CA 90043-1810
(323) 293-6291
(323) 293-1091
Mailing address
5318 CRENSHAW BLVD, LOS ANGELES, CA 90043-1810
(323) 293-6291
(323) 293-1091
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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