Organization
ELLA MAE STILL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CASWELL (OWNER)
(310) 367-5009
Entity
Organization
Contact information
Practice address
6931 TOPANGA CANYON BLVD, CANOGA PARK, CA 91303-2300
(310) 367-5009
Mailing address
6931 TOPANGA CANYON BLVD, CANOGA PARK, CA 91303-2300
(310) 367-5009
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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