Individual
DEANELLE AMBER FIMBRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 W REDONDO BEACH BLVD, GARDENA, CA 90247-4128
(310) 553-2695
Mailing address
7227 RICHFIELD ST APT 34, PARAMOUNT, CA 90723-5739
(818) 389-2317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6314
CA
Other
Enumeration date
06/26/2023
Last updated
08/05/2024
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