Provider Information for 1487782959
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ANNEMARIE WINIC
Sex: Female
NPI: 1487782959
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1487782959 | ||||||||
Enumeration Date | 2007-02-28 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1339 20TH ST SANTA MONICA, CA 90404-2033 United States Phone: | Fax: | ||||||||
Primary Practice Address | 1339 20TH ST SANTA MONICA, CA 90404-2033 United States Phone: 310-829-8586 | Fax:310-829-8455 | ||||||||
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