Shashamane Ethiopia Federal Agents Association (the)
NPI #1154714327 in Los Angeles, California
Provider Information
- NPI Number
- 1154714327
- Entity Type
- Organization
- Organization Name
- Shashamane Ethiopia Federal Agents Association (the)
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 12, 2015
- Last Updated
- Mar 12, 2015
Practice Location
- Address
- 2157 W 31ST ST # 2161
- City
- Los Angeles
- State
- California
- ZIP Code
- 90018-3424
- Phone
- (202) 765-2230
Authorized Official
- Name
- CLAYTON M. BERNARD EX
- Title
- CONTROLLER
- Phone
- (202) 765-2230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Veterinarian |
| Local Education Agency (LEA) |
| Exclusive Provider Organization |
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