BURNETT EUGENE ANCRUM

LOS ANGELES, CA
NPI1629106562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-03-01
Last Update Date2010-09-30
Business Address
Mr. BURNETT EUGENE ANCRUM Case Coordinator
340 N MADISON AVE
LOS ANGELES, CA 90004-3504
Phone number: 323-644-2026
Mailing Address
Mr. BURNETT EUGENE ANCRUM Case Coordinator
1906 W 3RD ST
LOS ANGELES, CA 90057-2304
Phone number: 323-644-2026