Individual
GAIL ASTRID LEDESMA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 E WINDSOR RD, GLENDALE, CA 91205-2656
(657) 254-8892
Mailing address
657 W CALIFORNIA AVE APT 1, GLENDALE, CA 91203-2825
(657) 254-8892
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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