LETANTIA B BUSSELL, M.D.
Dermatology at Camden Dr, Beverly Hills, CA

License number
California G30563
Category
Osteopathic Medicine
Type
Dermatology
Address
Address
433 N Camden Dr SUITE 805, Beverly Hills, CA 90210
Phone
(310) 550-7661
(310) 550-1920 (Fax)
National Provider ID: 1437183068
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LETANTIA B BUSSELL at bizstanding.com

LETANTIA B. BUSSELL, M.D., INC

Beverly Hills, CA

Status:
Inactive
Registration:
Mar 31, 1981
Addresses:
465 N Rosbury Dr #912, Beverly Hills, CA 90210 (Physical)
465 N Roxbury Dr, Beverly Hills, CA 90210
State ID:
C1040336
Business type:
Articles of Incorporation
President:
Letantia Bussell President, inactive
Agent:
Letantia Bussell,Beverly Hills, CA 90210 (Physical)

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