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Individual

AVA S HERBRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.P.O.

Contact information

Practice address
23033 LYONS AVE, STE 6, NEWHALL, CA 91321-2727
(661) 253-1191
(661) 253-1343
Mailing address
1524 21ST STREET, BAKERSFIELD, CA 93301-4002
(661) 322-1005
(661) 322-0528

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO1844
224P00000X
Prosthetist
CPO1844

Other

Enumeration date
04/25/2011
Last updated
04/25/2011
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