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EVERETT STEVEN BURNETT
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1447885454
Individual Registrant: EVERETT STEVEN BURNETT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2248 OBISPO AVE SIGNAL HILL, CA 90755-4026 US
Tel: 213-550-2634 Fax: --
Tel: 213-550-2634 Fax: --
Contact information for business:
2248 OBISPO AVE SIGNAL HILL, CA 90755-4026 US
Tel: 213-550-2634 Fax: --
Tel: 213-550-2634 Fax: --
Registration Information:
NPI: 1447885454
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
