OTHA LAVONNE BEVERLY

LAKEWOOD, CA
NPI1659170231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-03-07
Last Update Date2025-03-07
Business Address
OTHA LAVONNE BEVERLY
5150 CANDLEWOOD ST STE 22C
LAKEWOOD, CA 90712-1929
Phone number: 562-270-4833
Mailing Address
OTHA LAVONNE BEVERLY
2005 PALO VERDE AVE STE 251
LONG BEACH, CA 90815-3322
Phone number: 562-270-4833
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