Individual
MISS WENDY CHAIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA IN SOCIOLOGY
Contact information
Practice address
15339 SATICOY STREET, VAN NUYS, CA 91406
(818) 267-2745
Mailing address
2890 PALMER DR, LOS ANGELES, CA 90065-5236
(213) 820-0858
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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