Individual
MRS. GLADETH GUBAT ANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11036 RESEDA BLVD, PORTER RANCH, CA 91326-2806
(818) 633-9202
Mailing address
11036 RESEDA BLVD, PORTER RANCH, CA 91326-2806
(818) 633-9202
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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