Individual
MIA MAZZANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15125 VENTURA BLVD STE 23, SHERMAN OAKS, CA 91403-3306
(242) 285-0842
Mailing address
15030 VENTURA BLVD STE 343, SHERMAN OAKS, CA 91403-5470
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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