Individual
GUZEL GJENASAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 W AVENUE 33, LOS ANGELES, CA 90065-2743
(310) 430-1633
Mailing address
2317 W AVENUE 33, LOS ANGELES, CA 90065-2743
(310) 430-1633
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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