Individual
BRENDA VILLAGONZALO GEBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14401 HARTSOOK ST, SHERMAN OAKS, CA 91423-1022
(407) 497-6808
Mailing address
14401 HARTSOOK ST APT 310, SHERMAN OAKS, CA 91423-1041
(407) 497-6808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95146639
CA
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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