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Individual

MS. ANDREA MARIE A POBLETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
879 W 190TH ST STE 300, GARDENA, CA 90248-4223
(310) 323-6887
Mailing address
879 W 190TH ST STE 300, GARDENA, CA 90248-4223
(310) 323-6887

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22809
CA

Other

Enumeration date
04/27/2021
Last updated
01/10/2024
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