Individual
EDITH DOMITILA PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2141
Mailing address
15161 JACKSON ST, MIDWAY CITY, CA 92655-1432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
05/14/2025
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