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Marianne M Lacoste, MA,ADTR
Student in an Organized Health Care Education/Training Program in Gardena, California
NPI 1114057627

Marianne M Lacoste is a Student in an Organized Health Care Education/Training Program based in Gardena, CA. Marianne M Lacoste practices in Gardena, CA and has the professional credentials of MA,ADTR. The NPI Number for Marianne M Lacoste is 1114057627 and holds a License No. (California).

The current practice location address for Marianne M Lacoste is 130 W Victoria St, Gardena, CA and can be reached out via phone at 310-715-2020.

Location: 130 W Victoria St, Gardena, CA, 90248-3523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114057627
Provider Name
Marianne M Lacoste
Credential
MA,ADTR
Provider Entity Type
Individual
Gender
Female
Address
130 W Victoria St, Gardena, CA, 90248-3523
Phone Number
310-715-2020
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider Business Mailing Address Details
Address
130 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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