Provider Information for 1003948902
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MYA YVETTE LITTLE
Sex: Female
NPI: 1003948902
Last Updated: 2022-12-21
Certification Date: 2022-12-21
Certification Date: 2022-12-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003948902 | ||||||||||||
| Enumeration Date | 2007-03-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 16000 SHERMAN WAY APT 127 VAN NUYS, CA 91406-4055 United States Phone: 818-915-4999 | Fax: | ||||||||||||
| Primary Practice Address | 16000 SHERMAN WAY APT 127 VAN NUYS, CA 91406-4055 United States Phone: 818-901-4836 | Fax:818-376-0044 | ||||||||||||
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