Individual
ASHLEY ABIGAIL GRUEZO RESURRECCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7025 WOODMAN AVE APT 12A, VAN NUYS, CA 91405-3426
(818) 988-8865
Mailing address
7025 WOODMAN AVE APT 12A, VAN NUYS, CA 91405-3426
(818) 988-8865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC14047
CA
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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