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Individual

MICHELLE RENEE SYDNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 216-4900
Mailing address
3242 SAN FRANCISCO AVE, LONG BEACH, CA 90806-1216
(562) 222-9128

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-USVTR
CA

Other

Enumeration date
09/13/2024
Last updated
06/03/2025
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