Individual
ANTWUAN M. GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 W GARDENA BLVD UNIT 74, GARDENA, CA 90248-2670
(310) 532-1029
Mailing address
515 W GARDENA BLVD UNIT 74, GARDENA, CA 90248-2670
(310) 532-1029
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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