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1275940173
BRIZEYDA D PORTAL
VAN NUYS, CA
NPI
1275940173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT130339)
Enumeration Date
2014-07-13
Last Update Date
2024-09-04
Business Address
BRIZEYDA D PORTAL
6931 VAN NUYS BLVD STE 101
VAN NUYS, CA 91405-3937
Phone number: 818-376-0134
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Mailing Address
BRIZEYDA D PORTAL
6931 VAN NUYS BLVD STE 101
VAN NUYS, CA 91405-3937
Phone number:
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