THERESA ANNE POULOS

SANTA MONICA, CA
NPI1588050173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A145848)
Enumeration Date2015-04-09
Last Update Date2022-04-05
Business Address
THERESA ANNE POULOS
1131 WILSHIRE BLVD STE 300
SANTA MONICA, CA 90401-2066
Phone number: 310-395-5588
Mailing Address
THERESA ANNE POULOS
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90095-2718
Phone number: 310-301-5138
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