Individual
MISS FRIZETTE DODSON PUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16260 VENTURA BLVD, ENCINO, CA 91436-2203
(747) 998-0387
Mailing address
12741 ROSEBROOK WAY, STANTON, CA 90680-4013
(714) 757-8871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028989
CA
Other
Enumeration date
01/10/2008
Last updated
09/23/2024
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