JAMES WARREN LICAVOLI

LOS ANGELES, CA
NPI1609454586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-31
Last Update Date2021-03-31
Business Address
JAMES WARREN LICAVOLI
729 W MANCHESTER AVE
LOS ANGELES, CA 90044-5720
Phone number: 323-814-9100
Mailing Address
JAMES WARREN LICAVOLI
729 W MANCHESTER AVE
LOS ANGELES, CA 90044-5720
Phone number: 323-814-9100
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