Individual
ANTOINETTE RENEE FALICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 W MANCHESTER AVE, LOS ANGELES, CA 90047-3063
(323) 751-4778
Mailing address
307 WITMER ST APT 301, LOS ANGELES, CA 90017-1348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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