Individual
LILIBETH AZUSADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12441 SUNRISE RIDGE RD, SYLMAR, CA 91342-7720
(818) 833-9337
Mailing address
12441 SUNRISE RIDGE RD, SYLMAR, CA 91342-7720
(818) 833-9337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
759622
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
759622
CA
Other
Enumeration date
11/08/2016
Last updated
04/01/2021
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