Most Relevant Information
Provider Data
NPI Number: | 1003402108 |
Provider Name: | VALERIE GAMBLE |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 12/14/2020 |
Last Updated: | 12/14/2020 |
Provider Practice Location
5849 CROCKER ST
LOS ANGELES
CA
900031311
Practice Location Phone/Fax
Phone: | 3234324399 |
Fax: | 3234324393 |
Provider Mailing Location
5849 CROCKER ST
LOS ANGELES
CA
900031311
Provider Mailing Phone/Fax
Phone: | 3234324399 |
Fax: | 3234324393 |