| 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 | |
| Remove 1477806842 NPI Number | |
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.
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