Most Relevant Information
Provider Data
| NPI Number: | 1003633215 |
| Provider Name: | MAKENNA SPIELES |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2024 |
| Last Updated: | 09/20/2024 |
Provider Practice Location
1770 E 118TH ST
LOS ANGELES
CA
900592518
Practice Location Phone/Fax
| Phone: | 7344176215 |
| Fax: |
Provider Mailing Location
8601 LINCOLN BLVD APT 2106
LOS ANGELES
CA
900453589
Provider Mailing Phone/Fax
| Phone: | 7344176215 |
| Fax: |