Individual
EDNA AMBRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC I
Contact information
Practice address
16650 SHERMAN WAY, VAN NUYS, CA 91406-3782
(818) 901-4836
Mailing address
16650 SHERMAN WAY, VAN NUYS, CA 91406-3782
(818) 901-4836
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
12/04/2020
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