JAYSHELL RANDALE HOLTS

LOS ANGELES, CA
NPI1134710098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
Mr. JAYSHELL RANDALE HOLTS
2122 W 107TH ST
LOS ANGELES, CA 90047-4305
Phone number: 323-696-9749
Mailing Address
Mr. JAYSHELL RANDALE HOLTS
2122 W 107TH ST
LOS ANGELES, CA 90047-4305
Phone number: 323-696-9749