Organization
LIBERTY BROTHERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA LIBERZON RDMS (PRSEIDENT)
(310) 498-8405
Entity
Organization
Contact information
Practice address
15137 HARTSOOK ST, SHERMAN OAKS, CA 91403-1207
(310) 498-8405
Mailing address
15137 HARTSOOK ST, SHERMAN OAKS, CA 91403-1207
(310) 498-8405
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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