Individual
EDITH SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-2623
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
04/30/2021
Last updated
07/07/2023
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