DALANCE RAVONCE LAKES

LOS ANGELES, CA
NPI1275606733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Mr. DALANCE RAVONCE LAKES
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
Mailing Address
Mr. DALANCE RAVONCE LAKES
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
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