ISAAC MIEDEMA ERICSON

LOS ANGELES, CA
NPI1255162061
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
ISAAC MIEDEMA ERICSON
885 TIVERTON AVE
LOS ANGELES, CA 90095
Phone number: 310-825-6373
Mailing Address
ISAAC MIEDEMA ERICSON
885 TIVERTON AVE
LOS ANGELES, CA 90095
Phone number: 310-825-6373
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