Individual
EDITH MALACHI X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
Mailing address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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