AZEBRIA GIPSON

LOS ANGELES, CA
NPI1124406012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy282NW0100X General Acute Care Hospital, Women
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
-- AZEBRIA GIPSON
2331 E 120TH ST
LOS ANGELES, CA 90059-2629
Phone number: 310-602-9575
Mailing Address
-- AZEBRIA GIPSON
2331 E 120TH ST
LOS ANGELES, CA 90059-2629
Phone number: 310-602-9575