Individual
MRS. BLANCA CAMPUZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 S VERMONT AVE STE F, LOS ANGELES, CA 90007-2298
(323) 731-3333
Mailing address
119 N TOLAND AVE, WEST COVINA, CA 91790-2352
(626) 533-3027
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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