MARY KATHERINE MADDOCK

CULVER CITY, CA
NPI1457790594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  23327)
Enumeration Date2013-06-21
Last Update Date2021-11-26
Business Address
MARY KATHERINE MADDOCK
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
Mailing Address
MARY KATHERINE MADDOCK
9808 VENICE BLVDS SUITE 700
CULVER CITY, CA 90232
Phone number: 310-945-3350