Individual
CARISSA VICTORIA CHUIDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4021 W BURBANK BLVD, BURBANK, CA 91505-2120
(818) 841-4100
Mailing address
4021 W BURBANK BLVD, BURBANK, CA 91505-2120
(818) 841-4100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
36502
CA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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