PHYLLIS AGU

LOS ANGELES, CA
NPI1588174742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  40071)
Enumeration Date2017-10-02
Last Update Date2017-10-02
Business Address
PHYLLIS AGU LPT
710 E 111TH PL
LOS ANGELES, CA 90059-1518
Phone number: 323-233-0425
Mailing Address
PHYLLIS AGU LPT
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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