Individual
CAROL GURROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 993-9311
Mailing address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
333643
CA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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