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Carolyn N. Quetzal
Health Service Clinic/Center in Tarzana, California
NPI 1578773669

Carolyn N. Quetzal is a Health Service Clinic/Center based in Tarzana, CA and is specialized in Health Service. Carolyn N. Quetzal practices in Tarzana, CA. The NPI Number for Carolyn N. Quetzal is 1578773669 and holds a License No. DC26621 (California).

The current practice location address for Carolyn N. Quetzal is 18340 Ventura Blvd, Tarzana, CA and can be reached out via phone at 818-757-3131.

Location: 18340 Ventura Blvd, Tarzana, CA, 91356-4234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578773669
Provider Name
Carolyn N. Quetzal
Credential
Provider Entity Type
Organization
Address
18340 Ventura Blvd, Tarzana, CA, 91356-4234
Phone Number
818-757-3131
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18340 Ventura Blvd
City
Tarzana
State
California
Zip
91356-4234
Phone Number
818-757-3131
Fax Number
person
Provider Business Mailing Address Details
Address
18340 Ventura Blvd
City
Tarzana
State
California
Zip
91356-4234
Phone Number
818-757-3131
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
DC26621 (California)
Definition
Definition to come...
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