Individual
VANESSA ISABEL GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7335 VAN NUYS BLVD STE 118, VAN NUYS, CA 91405-1951
(310) 282-8352
Mailing address
15630 ROSALES ST, SYLMAR, CA 91342-3646
(818) 926-9932
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5613
CA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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