Individual
CARMEN MARAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 S ATLANTIC BLVD, COMMERCE, CA 90040-1200
(323) 318-9960
Mailing address
2450 S ATLANTIC BLVD, COMMERCE, CA 90040-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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