IAN R NANKERVIS

LOS ANGELES, CA
NPI1073090023
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-23
Last Update Date2018-07-23
Business Address
IAN R NANKERVIS
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
Mailing Address
IAN R NANKERVIS
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: