Venice Lisette Cerros

NPI 1063850188 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063850188
Gender Female
Enumeration Date 06/11/2013
Last Updated 06/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
12450 VAN NUYS BLVD
SUITE 200
PACOIMA CA, 91331-1391, US
Phone (818) 896-1161
Fax (818) 896-5069
Business Location
12450 VAN NUYS BLVD
SUITE 200
PACOIMA CA, 91331-1391, US
Phone (818) 896-1161
Fax (818) 896-5069
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Venice Lisette Cerros NPI is 1063850188, taxonomy code is 171M00000X Venice Lisette Cerros physically located at 12450 Van Nuys Blvd, Pacoima CA, 91331-1391. NPI Number Venice Lisette Cerros has the Individual type.

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1063850188 NPI number is provided on an as is basis without warranty of any kind. 1063850188 is maintained by the National Plan & Provider Enumeration System. The contents of Venice Lisette Cerros are for informational purposes only.