Individual
MISS CIARRA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5054 S VERMONT AVE, LOS ANGELES, CA 90037-2946
(323) 383-5116
Mailing address
3031 S VERMONT AVE, LOS ANGELES, CA 90007-3033
(323) 373-2400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
11/30/2020
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