Withrow Out a Trace Ministyr
NPI #1235371352 in Redondo Beach, California
Provider Information
- NPI Number
- 1235371352
- Entity Type
- Organization
- Organization Name
- Withrow Out a Trace Ministyr
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Apr 3, 2009
- Last Updated
- Apr 3, 2009
Practice Location
- Address
- 2110 ARTESIA BLVD
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90278-3073
- Phone
- (310) 569-5868
Authorized Official
- Name
- MR. VINCENT M DUGAN, REGISTER COUNSELOR
- Title
- COUNSELOR
- Phone
- (213) 880-9242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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