Ziesha Chineastera Kashawn Waters Carrico B.S.

NPI 1477806842 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1477806842
Gender Female
Enumeration Date 10/22/2012
Last Updated 05/10/2013
Entity Type Individual
Active Over 4 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, Ziesha Chineastera Kashawn Waters Carrico B.S. NPI is 1477806842, taxonomy code is 171M00000X Ziesha Chineastera Kashawn Waters Carrico B.S. physically located at 12450 Van Nuys Blvd, Pacoima CA, 91331-1391. NPI Number Ziesha Chineastera Kashawn Waters Carrico B.S. has the Individual type.

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1477806842 NPI number is provided on an as is basis without warranty of any kind. 1477806842 is maintained by the National Plan & Provider Enumeration System. The contents of Ziesha Chineastera Kashawn Waters Carrico B.S. are for informational purposes only.