| NPI | 1588961155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THURMAN HORNBUCKLE PT A 310-292-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |