BRACE BACON

LOS ANGELES, CA
NPI1801505367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2022-11-23
Last Update Date2022-11-23
Business Address
BRACE BACON
11710 SAN VICENTE BLVD
LOS ANGELES, CA 90049-5006
Phone number: 323-405-7255
Mailing Address
BRACE BACON
1011 PALM AVE APT 301
WEST HOLLYWOOD, CA 90069-4092
Phone number:
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