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NPI Code Detail

MEDICARE: GLENDA LA ROSA NAVARRO

MEDICARE: GLENDA LA ROSA NAVARRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist152005CA

General Provider Information

NPI Number : 1164198362
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA LA ROSA NAVARRO
Provider Business Mailing Address
First Line : 2825 E EL PASO AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-6409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1396 W HERNDON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-7126
Country : US
Telephone Number : 559-256-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 08/26/2025

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Directions to “ GLENDA LA ROSA NAVARRO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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