Individual
DR. BANCHI A. F TSEGAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
63 FREMONT PL, LOS ANGELES, CA 90005-3857
(323) 868-7405
Mailing address
63 FREMONT PL, LOS ANGELES, CA 90005-3857
(323) 868-7405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33944
CA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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