Individual
TONI YVONNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1897 W JEFFERSON BLVD STE A, LOS ANGELES, CA 90018-3434
(323) 327-8677
(323) 735-2390
Mailing address
1897 W JEFFERSON BLVD STE A, LOS ANGELES, CA 90018-3434
(323) 327-8677
(323) 735-2390
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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