TULLY MACKAY-TISBERT

LOS ANGELES, CA
NPI1356601454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-05-22
Last Update Date2013-05-22
Business Address
-- TULLY MACKAY-TISBERT
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559
Mailing Address
-- TULLY MACKAY-TISBERT
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559