Individual
MINIE GRACE BABELA MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MISSION RD, GLENDALE, CA 91205-3328
(818) 247-4476
Mailing address
127 W CHESTNUT ST APT 7, GLENDALE, CA 91204-1758
(626) 560-9676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3821
CA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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