Individual
HALEY TRIVOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 N BRAND BLVD, GLENDALE, CA 91203-2610
(818) 241-5616
(818) 241-0132
Mailing address
232 N BRAND BLVD, GLENDALE, CA 91203-2610
(818) 241-5616
(818) 241-0132
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
06/11/2019
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