Individual
IVONNE ROSA MADRIGAL LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S UNION AVE STE 6007, TACOMA, WA 98405-1702
(818) 241-6780
Mailing address
1055 E. COLORADO BLVD., SUITE 560 PASADENA, PASADENA, CA 91106-1702
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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