GRETA MARLA VINES-DOUGLAS

MONTEBELLO, CA
NPI1740312826
Former NameGRETA MARLA VINES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA13987)
Enumeration Date2007-03-12
Last Update Date2018-01-11
Business Address
GRETA MARLA VINES-DOUGLAS PA-C
815 WASHINGTON BLVD
MONTEBELLO, CA 90640-6123
Phone number: 323-728-3955
Mailing Address
GRETA MARLA VINES-DOUGLAS PA-C
5823 YORK BLVD # 3
LOS ANGELES, CA 90042-2634
Phone number: 323-255-5643
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