Individual
DESIREE MIJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 357-3258
Mailing address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 357-3258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW131577
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2024
Last updated
07/16/2025
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