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Individual

IRIS AZUCENA PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
36522 CANASTO CT, PALMDALE, CA 93552-5854
(818) 300-3048
Mailing address
36522 CANASTO CT, PALMDALE, CA 93552-5854
(818) 300-3048

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
CA

Other

Enumeration date
04/19/2022
Last updated
04/25/2022
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