Individual
DAWNITA ELITE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 EXPOSITION BLVD, LOS ANGELES, CA 90016-4822
(213) 399-5701
Mailing address
5603 S CENTRAL AVE, LOS ANGELES, CA 90011-5967
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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