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Individual

ANGIE MICHELLE CIFUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4477 W 118TH ST STE 502, HAWTHORNE, CA 90250-2260
(213) 600-0472
Mailing address
4038 W 133RD ST APT A, HAWTHORNE, CA 90250-5979
(310) 343-1763

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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