Organization
AMERICAN UNIQUE STAFF PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN BROWN EZEUKA (PRESIDENT)
(818) 445-3515
Entity
Organization
Contact information
Practice address
8761 DE SOTO AVE, SUITE 127, CANOGA PARK, CA 91304
(818) 445-3515
Mailing address
8761 DE SOTO AVE, SUITE 127, CANOGA PARK, CA 91304
(818) 445-3515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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