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Individual

ANESHA NAJWA LARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
(562) 591-0346
Mailing address
4029 BROADWAY, APT. 8, HAWTHORNE, CA 90250-4071
(562) 218-1868
(562) 591-0436

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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