Provider Information for 1881827723
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Miss JOYCE VIRGINIA LA BIANCO LMFT
Sex: Female
NPI: 1881827723
Last Updated: 2015-05-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881827723 | ||||||||||||
| Enumeration Date | 2009-08-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2302 W 229TH ST TORRANCE, CA 90501-5335 United States Phone: 714-844-3787 | Fax:951-398-7235 | ||||||||||||
| Primary Practice Address | 7177 BROCKTON AVE SUITE 452 RIVERSIDE, CA 92506-2631 United States Phone: 714-844-3787 | Fax:951-398-7235 | ||||||||||||
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