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Individual

ATHENA SU-LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1836 W 182ND ST, TORRANCE, CA 90504-4402
(310) 329-7777
Mailing address
1836 W 182ND ST, TORRANCE, CA 90504-4402
(310) 329-7777

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32822
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982014288
NPPES
CA
Enumeration date
05/07/2014
Last updated
02/07/2017
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