WITHROW OUT A TRACE MINISTYR

REDONDO BEACH, CA
NPI1235371352
Entity TypeOrganization
Authorized ContactVINCENT M DUGAN
Counselor
213-880-9242
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: CA  RW2056)
Enumeration Date2009-04-03
Last Update Date2009-04-03
Business Address
WITHROW OUT A TRACE MINISTYR
2110 ARTESIA BLVD
REDONDO BEACH, CA 90278-3073
Phone number: 310-569-5868
Mailing Address
WITHROW OUT A TRACE MINISTYR
4015 W 137TH ST
HAWTHORNE, CA 90250-7340
Phone number: 310-569-5868
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