Individual
RENE ANITA LEMSI CHOMBENG EPSE SAMA AMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16928 S ORCHARD AVE, GARDENA, CA 90247-5617
(424) 391-2011
Mailing address
16928 S ORCHARD AVE, GARDENA, CA 90247-5617
(424) 391-2011
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
194701096
CA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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