MRS. Doris J Icute

NPI #1063696847 in Los Angeles, California

Provider Information

NPI Number: 1063696847
Entity Type: Individual
Name: MRS. Doris J Icute
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Dec 28, 2007
Last Updated: Dec 28, 2007

Practice Location

Address: 1330 WEST IMPERIAL HIGHWAY
City: Los Angeles
State: California
ZIP Code: 90044
Phone: (323) 418-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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