Spiritual Garden LLC
NPI #1366197055 in Venice, California
Provider Information
- NPI Number
- 1366197055
- Entity Type
- Organization
- Organization Name
- Spiritual Garden LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Feb 21, 2022
- Last Updated
- Mar 2, 2022
Practice Location
- Address
- 584 VENICE BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-4871
- Phone
- (646) 725-6036
Authorized Official
- Name
- CHRISTOPHER M ALVAREZ
- Title
- OWNER
- Phone
- (646) 725-6036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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