Individual
KARLA VIANNEY ESQUIVEL VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13183 SAYRE ST, SYLMAR, CA 91342-2535
(818) 987-5188
Mailing address
13183 SAYRE ST, SYLMAR, CA 91342-2535
(818) 987-5188
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83161
CA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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