Individual
MISS SKYELER SEBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22110 ROSCOE BLVD STE 204, CANOGA PARK, CA 91304-3862
(818) 713-8700
Mailing address
22110 ROSCOE BLVD STE 204, CANOGA PARK, CA 91304-3862
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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