Individual
AYAKA GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8881 LAMAR ST APT 14, SPRING VALLEY, CA 91977-2642
(619) 699-9832
Mailing address
8881 LAMAR ST. APT 14, SPRING VALLEY, CA 91977-2518
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
00252505
CA
376K00000X
Nurse's Aide
Primary
00836252
CA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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