IDA PHAE MACK

NORTH HILLS, CA
NPI1184854788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2009-07-17
Last Update Date2009-07-29
Business Address
Ms. IDA PHAE MACK BA
15317 RAYEN ST
NORTH HILLS, CA 91343-5117
Phone number: 818-892-3423
Mailing Address
Ms. IDA PHAE MACK BA
15317 RAYEN ST
NORTH HILLS, CA 91343-5117
Phone number: 818-892-3423
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