Individual
IMMABELLE ALICE ISIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 DE SOTO AVE STE 207A, CANOGA PARK, CA 91303-2366
(818) 256-3402
Mailing address
7108 DE SOTO AVE STE 207A, CANOGA PARK, CA 91303-2366
(818) 256-3402
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
07/28/2023
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