Individual
MS. BERENICE ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5122 CANTLEWOOD DR, PALMDALE, CA 93552-3856
(818) 212-1131
Mailing address
PO BOX 273, SUN VALLEY, CA 91353-0273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
104100000X
Social Worker
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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