SELENA PATRICE IVEY

LOS ANGELES, CA
NPI1750474284
Former NameSELENA PATRICE BURQUEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
(Licence: CA  1687)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Mrs. SELENA PATRICE IVEY RKT
11301 WILSHIRE BOULEVARD
LOS ANGELES, CA 90073
Phone number: 310-478-3711
Mailing Address
Mrs. SELENA PATRICE IVEY RKT
10346 1/2 RIVERSIDE DRIVE
TOLUCA LAKE, CA 91602
Phone number: 818-823-5227