Individual
MARIANA LEON GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(610) 996-1793
Mailing address
7855 GOLFCREST DR UNIT 19, SAN DIEGO, CA 92119-1253
(610) 996-1793
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3422
CA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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