Most Relevant Information
Provider Data
| NPI Number: | 1003448127 |
| Provider Name: | THOMASENE LAVERNE SANTEE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/06/2020 |
| Last Updated: | 02/06/2020 |
Provider Practice Location
225 E GAGE AVE
LOS ANGELES
CA
900031533
Practice Location Phone/Fax
| Phone: | 2134007008 |
| Fax: |
Provider Mailing Location
225 E GAGE AVE
LOS ANGELES
CA
900031533
Provider Mailing Phone/Fax
| Phone: | 2134007008 |
| Fax: |