AUTUMN FAWN STEWART LUCKEY

LOS ANGELES, CA
NPI1164047510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2020-06-11
Last Update Date2025-05-08
Business Address
AUTUMN FAWN STEWART LUCKEY
11303 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-6003
Phone number: 310-482-6600
Mailing Address
AUTUMN FAWN STEWART LUCKEY
11303 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-6003
Phone number: 310-482-6600
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