Individual
KIMBERLY DANIELLE GILDERSLEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 W 235TH ST, CARSON, CA 90745-5115
(909) 434-5484
Mailing address
434 W 235TH ST, CARSON, CA 90745-5115
(909) 434-5484
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
D1374354
CA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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