IVY GRACE BAS DUENAS

LOS ANGELES, CA
NPI1336662501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2017-07-19
Last Update Date2023-06-08
Business Address
IVY GRACE BAS DUENAS
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064-1937
Phone number: 310-966-6600
Mailing Address
IVY GRACE BAS DUENAS
11080 W OLYMPIC BLVD
LOS ANGLES, CA 90064
Phone number:
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