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1578168225
MELISSA WENCESLAO
LOS ANGELES, CA
NPI
1578168225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-12-01
Last Update Date
2020-12-24
Business Address
MELISSA WENCESLAO
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
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Mailing Address
MELISSA WENCESLAO
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number:
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