MARY KATHERINE MADDOCK
Nursing at Venice Blvd, Los Angeles, CA

License number
California 464240
Category
Nursing
Type
Psychiatric/Mental Health
License number
California 23327
Category
Nursing
Type
Psychiatric/Mental Health
Address
Address
9808 Venice Blvd SUITE 700, Los Angeles, CA 90232
Phone
(310) 945-3350
(310) 945-3356 (Fax)
National Provider ID: 1457790594
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
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Phone
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(831) 685-1588
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2601 E Victoria St SPC 367, Compton, CA 90220
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2119 S Virmargo St, Visalia, CA 93292
Mary E Maddock, age 79
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