Individual
ANGELICA DE MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6736 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91606-1538
(818) 755-8786
Mailing address
2234 ROLLING RIVER LN UNIT 2, SIMI VALLEY, CA 93063-2979
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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