Individual
MISS ITZAMARY XIMENA TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2719 N AIR FRESNO DR, FRESNO, CA 93727-1547
(559) 600-8918
Mailing address
2719 N AIR FRESNO DR, FRESNO, CA 93727-1547
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW105983
CA
Other
Enumeration date
04/25/2022
Last updated
01/23/2024
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