EDWARD DE GUZMAN DOMANTAY

ALAMEDA, CA
NPI1013125863
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  OT8381)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
Mr. EDWARD DE GUZMAN DOMANTAY
1114 WILLOW ST B
ALAMEDA, CA 94501-4374
Phone number: 510-864-0763
Mailing Address
Mr. EDWARD DE GUZMAN DOMANTAY
1114 WILLOW ST B
ALAMEDA, CA 94501-4374
Phone number: 510-864-0763