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Individual

IDA MOLAYEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6399 WILSHIRE BLVD STE 110, LOS ANGELES, CA 90048-5704
(323) 951-0999
Mailing address
6399 WILSHIRE BLVD STE 110, LOS ANGELES, CA 90048-5704
(323) 951-0999

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
32789
CA

Other

Enumeration date
01/08/2014
Last updated
01/08/2014
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