Individual
MR. KEVIN DARNEIL LASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 E 113TH ST, LOS ANGELES, CA 90061-3019
(323) 418-8113
(323) 920-7691
Mailing address
313 E 113TH ST, LOS ANGELES, CA 90061-3019
(323) 418-8113
(323) 920-7691
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
A3975427
CA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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