Individual
AREZOO FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
813 23RD ST, SANTA MONICA, CA 90403-2101
(310) 883-3884
Mailing address
14335 BURBANK BLVD APT 10, VAN NUYS, CA 91401-4819
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
683309
CA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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