Kristell Justice V Dantoc
Case Manager/Care Coordinator in Los Angeles, CA. Individual provider (NPI-1).
NPI number1053979286
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1053979286
- Entity type
- Individual (NPI-1)
- Name
- Kristell Justice V Dantoc
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2019
- Last updated
- Jun 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1625 Schrader BlvdLos Angeles, CA 90028-6213
Phone 323-993-7449
Mailing address
1625 Schrader BlvdLos Angeles, CA 90028-6213
Phone 323-993-7449
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