Individual
SANTA JOANA BANDA VERDUZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(747) 296-8243
Mailing address
8612 MATILIJA AVE, PANORAMA CITY, CA 91402-3827
(747) 296-8243
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/15/2023
Last updated
08/30/2024
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