MIRIE ANNE WIESENBERG

PASADENA, CA
NPI1215167770
Other NameMIRIE ANNE MAHPOUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2009-07-19
Last Update Date2009-07-19
Business Address
-- MIRIE ANNE WIESENBERG
66 HURLBUT ST
PASADENA, CA 91105-4025
Phone number: 626-441-4221
Mailing Address
-- MIRIE ANNE WIESENBERG
5851 RHODES AVE
VALLEY VILLAGE, CA 91607-1129
Phone number: 818-634-9195
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