LISA RENEE SQUARE

LOS ANGELES, CA
NPI1407512700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-11-10
Last Update Date2021-11-10
Business Address
LISA RENEE SQUARE
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
Mailing Address
LISA RENEE SQUARE
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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