Provider Demographics
NPI:1205331519
Name:GARIBAY, LESLY JORAL (CFTS)
Entity type:Individual
Prefix:MRS
First Name:LESLY
Middle Name:JORAL
Last Name:GARIBAY
Suffix:
Gender:F
Credentials:CFTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6606 DORVA AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-4715
Mailing Address - Country:US
Mailing Address - Phone:661-401-3158
Mailing Address - Fax:
Practice Address - Street 1:1524 21ST ST STE B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4002
Practice Address - Country:US
Practice Address - Phone:661-322-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter