ELIJAH FAGGINS

LOS ANGELES, CA
NPI1659571735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-07-18
Last Update Date2007-07-18
Business Address
-- ELIJAH FAGGINS
5310 S HOOVER ST
LOS ANGELES, CA 90037-3734
Phone number: 310-916-3532
Mailing Address
-- ELIJAH FAGGINS
5310 S HOOVER ST
LOS ANGELES, CA 90037-3734
Phone number:
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