IVANOVA GUILLEN

SAN DIEGO, CA
NPI1003206970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT10270)
Enumeration Date2015-01-30
Last Update Date2015-01-30
Business Address
-- IVANOVA GUILLEN PTA
9089 CLAIREMONT MESA BLVD SUITE 200
SAN DIEGO, CA 92123-1234
Phone number: 800-787-6787
Mailing Address
-- IVANOVA GUILLEN PTA
3541 VALLEY RD APT 3
BONITA, CA 91902-4161
Phone number: 626-261-3941
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