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Individual

AJENAE LA'ZAE BURLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21600 OXNARD STREET SUITE 200, WOODLAND HILLS, CA 91367
(877) 206-1009
Mailing address
21600 OXNARD STREET SUITE 200, WOODLAND HILLS, CA 91367

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/23/2024
Last updated
05/23/2024
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