Individual
ANITA BAZAVILVAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHINICAN
Contact information
Practice address
2100 W 3RD ST, LOS ANGELES, CA 90057-1922
(213) 483-9930
(213) 483-8730
Mailing address
2100 W 3RD ST, LOS ANGELES, CA 90057-1922
(213) 483-9930
(213) 483-8730
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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