STACEY L. EWART

LOS ANGELES, CA
NPI1902040504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2009-04-27
Last Update Date2009-04-27
Business Address
-- STACEY L. EWART
3741 STOCKER ST STE 207
LOS ANGELES, CA 90008-5148
Phone number: 323-596-2480
Mailing Address
-- STACEY L. EWART
3741 STOCKER ST STE 207
LOS ANGELES, CA 90008-5148
Phone number: 323-596-2480