AGUSTIN LIZAMA

LOS ANGELES, CA
NPI1558610147
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-08-29
Last Update Date2012-08-30
Business Address
-- AGUSTIN LIZAMA
130 W. BRUNO ST
LOS ANGELES, CA 90012
Phone number: 323-526-1254
Mailing Address
-- AGUSTIN LIZAMA
2677 MOSS AVE #7
LOS ANGELES, CA 90065
Phone number: 323-526-1254