REATHA OPHELIA ANDERSON

LOS ANGELES, CA
NPI1023140837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Miss REATHA OPHELIA ANDERSON
340 N MADISON AVE
LOS ANGELES, CA 90004-3504
Phone number: 323-644-2026
Mailing Address
Miss REATHA OPHELIA ANDERSON
13611 KORNBLUM AVE APT 16
HAWTHORNE, CA 90250-9610
Phone number: 310-676-8231