BERT ALLEN MAXWELL

VAN NUYS, CA
NPI1457798423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-05-30
Last Update Date2013-05-30
Business Address
Mr. BERT ALLEN MAXWELL
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
Mailing Address
Mr. BERT ALLEN MAXWELL
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
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