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Individual

ELMORE GILDERSLEEVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(233) 593-5300
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(233) 593-5300

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
225400000X
Rehabilitation Practitioner
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
04/03/2009
Last updated
06/03/2025
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