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NPI Code Detail

MEDICARE: MAMMIE FREEMAN

MEDICARE: MAMMIE FREEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse643267CA

General Provider Information

NPI Number : 1184239519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAMMIE FREEMAN
Provider Business Mailing Address
First Line : 1501 HUGHES WAY STE 150
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1878
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3710
Country : US
Telephone Number : 310-836-1223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2020
Last Update Date : 04/30/2026

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Directions to “ MAMMIE FREEMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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