Individual
MS. ALICE MARIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 W WILLIAMS ST # 2, LONG BEACH, CA 90810-3636
(562) 743-2695
Mailing address
9203 MANDALE ST, BELLFLOWER, CA 90706-2851
(562) 292-9467
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-VQIGR
CA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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