Individual
CARLA MAE ELISSE CARAOS GIANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN, RN, COTA/L
Contact information
Practice address
614 ROBIN GLEN DR, GLENDALE, CA 91202-1140
(818) 450-9724
Mailing address
614 ROBIN GLEN DR, GLENDALE, CA 91202-1140
(818) 450-9724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95039356
CA
224Z00000X
Occupational Therapy Assistant
Primary
3803
CA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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