SIVAN REVIVO

WOODLAND HILLS, CA
NPI1235776071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: CA  27586)
Enumeration Date2019-11-27
Last Update Date2019-11-27
Business Address
SIVAN REVIVO
19730 VENTURA BLVD STE 103B
WOODLAND HILLS, CA 91364-2693
Phone number: 818-884-5103
Mailing Address
SIVAN REVIVO
6300 BEEMAN AVE
NORTH HOLLYWOOD, CA 91606-3123
Phone number: 818-572-7275
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