Individual
RAYJENNIA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 W 109TH PL, LOS ANGELES, CA 90061-1514
(323) 574-3841
Mailing address
430 W 109TH PL, LOS ANGELES, CA 90061-1514
(323) 574-3841
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
198320408
CA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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