Maraisa Shira Glass
Maraisa Shira Glass is a Rehabilitation Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address checks out
840 N Avenue 66Los Angeles, CA 90042-1508
Phone: (310) 422-2465
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-PKTDJZ (CA) |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X (CA) |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1518623255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 16, 2021 |
| Last updated in NPPES | January 13, 2026 |
| Certification date | January 13, 2026 |
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