Individual
AIDEE GUADALUPE PROBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 S REDONDO BLVD, LOS ANGELES, CA 90019-4136
(909) 232-5532
Mailing address
177 W SOUTH ST APT 114, RIALTO, CA 92376-6460
(323) 272-3875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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