DOUGLAS LANE

LONG BEACH, CA
NPI1598049157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-09-30
Last Update Date2011-09-30
Business Address
-- DOUGLAS LANE
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 562-434-4455
Mailing Address
-- DOUGLAS LANE
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 562-434-4455
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