Individual
JUDITH PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCS, PPD, LC, ST
Contact information
Practice address
22227 HART ST, CANOGA PARK, CA 91303-2326
(818) 456-3079
Mailing address
22227 HART ST, CANOGA PARK, CA 91303-2326
(818) 456-3079
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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