Individual
ASHLEY RENAE BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
(818) 582-8836
Mailing address
19796 NORTHCLIFF DR, SANTA CLARITA, CA 91351-5706
(818) 336-8463
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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