Individual provider · NPI-1

Anita Bazavilvazo, Techinican

Technician, Other · Los Angeles, CA

NPI number1518172048
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1518172048
Entity type
Individual (NPI-1)
Name
Anita Bazavilvazo
Credential
Techinican
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

2100 W 3rd St
Los Angeles, CA 90057-1922

Phone 213-483-9930 · Fax 213-483-8730

Mailing address

2100 W 3rd St
Los Angeles, CA 90057-1922

Phone 213-483-9930 · Fax 213-483-8730

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