Most Relevant Information
Provider Data
| NPI Number: | 1003200676 |
| Provider Name: | JOSETTE M MACIAS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 120141 |
Most Important Dates
| Enumeration Date: | 03/23/2015 |
| Last Updated: | 03/23/2015 |
Provider Practice Location
17727 E CYPRESS ST
COVINA
CA
917222634
Practice Location Phone/Fax
| Phone: | 6269672677 |
| Fax: |
Provider Mailing Location
301 N ST LOUIS ST
LOS ANGELES
CA
900332807
Provider Mailing Phone/Fax
| Phone: | 3238364483 |
| Fax: |