Individual
ANGELICA DARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 FIRESTONE BLVD STE 3015, NORWALK, CA 90650-9333
(562) 864-7821
Mailing address
14600 SHERMAN WAY STE 100D, VAN NUYS, CA 91405-5869
(818) 374-6901
(818) 374-6908
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
07/12/2021
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