Individual
MISS LEI RAIZA ZERVOULAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 BEVERLY BLVD, LOS ANGELES, CA 90057-2402
(213) 353-1140
Mailing address
1926 BEVERLY BLVD, LOS ANGELES, CA 90057-2402
(213) 353-1140
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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