Gabriela Licea
Case Manager/Care Coordinator in Los Angeles, CA. Individual provider (NPI-1).
NPI number1124580923
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1124580923
- Entity type
- Individual (NPI-1)
- Name
- Gabriela Licea
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1200 Wilshire Blvd Ste 300Los Angeles, CA 90017-1931
Phone 213-481-7464 · Fax 213-481-7147
Mailing address
1200 Wilshire Blvd Ste 300Los Angeles, CA 90017-1931
Phone 213-481-7464 · Fax 213-481-7147
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