TERRELL VANSCIVER

LOS ANGELES, CA
NPI1902402647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
TERRELL VANSCIVER
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 951-464-3038
Mailing Address
TERRELL VANSCIVER
14810 HALLDALE AVE APT 11
GARDENA, CA 90247-2870
Phone number: 951-464-3038
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