AUGUSTINE BANNERMAN

LOS ANGELES, CA
NPI1144051830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-08-13
Last Update Date2024-08-13
Business Address
AUGUSTINE BANNERMAN
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373
Mailing Address
AUGUSTINE BANNERMAN
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373
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