MIRIAM MACKOVIC-BASIC

LAKEWOOD, CA
NPI1548286016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CA  A52699)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
-- MIRIAM MACKOVIC-BASIC
3650 SOUTH ST STE 403
LAKEWOOD, CA 90712-1504
Phone number: 562-634-8812
Mailing Address
-- MIRIAM MACKOVIC-BASIC
3650 SOUTH ST STE 403
LAKEWOOD, CA 90712-1504
Phone number:
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