Individual
MISS VIRGILEE ASTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 VENTURA BLVD, ENCINO, CA 91436-2011
(818) 788-1003
Mailing address
9254 BALCOM AVE, NORTHRIDGE, CA 91325-2304
(818) 357-3993
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2089
CA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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