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Individual

JENNIFER UGALDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21032 DOLORES ST, CARSON, CA 90745-1319
(310) 748-1817
Mailing address
21032 DOLORES ST, CARSON, CA 90745-1319

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4960
CA

Other

Enumeration date
08/21/2021
Last updated
08/21/2021
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