Individual
ANGELICA CHANTAL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12099 W WASHINGTON BLVD STE 200, LOS ANGELES, CA 90066-2622
(310) 751-1171
Mailing address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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