MIRIAM MACKOVIC-BASIC
Medical Practice at South St, Lakewood, CA

License number
California A52699
Category
Medical Practice
Type
Obstetrics & Gynecology
Address
Address
3650 South St SOUTH STE 403, Lakewood, CA 90712
Phone
(562) 634-8812
(562) 634-6033 (Fax)
National Provider ID: 1548286016
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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