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Individual

MARIE ASHLEY LACAMBRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
903 CRENSHAW BLVD STE 103, LOS ANGELES, CA 90019-1965
(323) 549-0100
Mailing address
1237 ORANGE GROVE AVE, GLENDALE, CA 91205-1415
(818) 913-0870

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
CA

Other

Enumeration date
01/17/2019
Last updated
01/17/2019
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