PERRY LEWIS MADDOX

LOS ANGELES, CA
NPI1679377691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-04-01
Last Update Date2026-07-01
Business Address
Mr. PERRY LEWIS MADDOX CHW
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 213-598-0980
Mailing Address
Mr. PERRY LEWIS MADDOX CHW
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 213-684-3225