Individual
JUDITH ANUGOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7451 LANKERSHIM BLVD, N HOLLYWOOD, CA 91605-2803
(818) 503-9800
(818) 503-9801
Mailing address
13917 MCCLURE AVE APT 3, PARAMOUNT, CA 90723-6011
(323) 470-8879
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019407
CA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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