NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245458546 |   |   |   | ETTIE LEE HOMES, INC | 5146 MAINE AVE | BALDWIN PARK | CA | 917061658 |
1992890057 |   |   |   | ETTIE LEE HOMES, INC | 5146 MAINE AVE, P.O. BOX 339 | BALDWIN PARK | CA | 917060339 |