Individual
FELTON BUCKHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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