Individual
GLENDA CUADRA PONDOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 S KONA AVE, FRESNO, CA 93727-5557
(559) 305-1682
Mailing address
567 S KONA AVE, FRESNO, CA 93727-5557
(559) 305-1682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7657
CA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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