Individual
MICHELLE DAJDUMRONGWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5636 BLANCO AVE, WOODLAND HILLS, CA 91367-4007
(818) 926-8898
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 926-8898
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
091420
CA
Other
Enumeration date
04/23/2012
Last updated
09/26/2023
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