Individual
MIESHIA GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4265 S NORMANDIE AVE, LOS ANGELES, CA 90037-2324
(213) 949-1378
Mailing address
831 LUCILE AVE, 201, LOS ANGELES, CA 90026
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
02/23/2023
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