Individual
KAREN ISELA ARAGON PRUDENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W DRYDEN ST, GLENDALE, CA 91202-3748
(323) 303-2588
Mailing address
11465 RUGGIERO AVE, SYLMAR, CA 91342-6737
(323) 303-2588
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F3011241
CA DL
CA
Enumeration date
01/10/2023
Last updated
01/10/2023
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