Obsidian Blackwolf
NPI #1043010069 in Huntington Park, California
Provider Information
- NPI Number
- 1043010069
- Entity Type
- Individual
- Name
- Obsidian Blackwolf
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Mar 18, 2025
- Last Updated
- Aug 13, 2025
Practice Location
- Address
- 2677 ZOE AVE STE 304
- City
- Huntington Park
- State
- California
- ZIP Code
- 90255-3699
- Phone
- (323) 346-0960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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