Individual
CARLA BILLANES MUTUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4418 VINELAND AVE, SUITE 220, NORTH HOLLYWOOD, CA 91602-3457
(818) 623-8500
Mailing address
4610 KESTER AVE APT 25, SHERMAN OAKS, CA 91403-2527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42202
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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