MIKELL BRANCH

SANTA MONICA, CA
NPI1447649579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  14487)
Enumeration Date2015-01-13
Last Update Date2015-01-13
Business Address
Mr. MIKELL BRANCH
1323 17TH ST
SANTA MONICA, CA 90404-1901
Phone number: 310-453-5456
Mailing Address
Mr. MIKELL BRANCH
1323 17TH ST
SANTA MONICA, CA 90404-1901
Phone number:
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