Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CA |
NPI | 1205331519 |
---|---|
Provider Name | Mrs. Lesly Joral Garibay |
First Address | Bakersfield, CA 93306-4715 |
Second Address | Bakersfield, CA 93301-4002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2018 |
Last Update Date | 28/03/2018 |