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1407471360
LORENZO MAYA
LOS ANGELES, CA
NPI
1407471360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2020-06-16
Last Update Date
2024-04-17
Business Address
LORENZO MAYA
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
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Mailing Address
LORENZO MAYA
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
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