Most Relevant Information
Provider Data
| NPI Number: | 1003403932 |
| Provider Name: | FABIENNE JOSEPH-MYERS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 16107 |
Most Important Dates
| Enumeration Date: | 12/27/2020 |
| Last Updated: | 12/27/2020 |
Provider Practice Location
11301 WILSHIRE BLVD BLDG 158
LOS ANGELES
CA
900731003
Practice Location Phone/Fax
| Phone: | 6264927743 |
| Fax: | 3102684155 |
Provider Mailing Location
11301 WILSHIRE BLVD BLDG 158
LOS ANGELES
CA
900731003
Provider Mailing Phone/Fax
| Phone: | 6264927743 |
| Fax: | 3102684155 |