ANTONETTE ELLESMERE DISTAN

LANCASTER, CA
NPI1023448016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  16439)
Enumeration Date2013-11-12
Last Update Date2013-11-12
Business Address
-- ANTONETTE ELLESMERE DISTAN
1601 ARNICA LN
LANCASTER, CA 93535-4442
Phone number: 818-601-9714
Mailing Address
-- ANTONETTE ELLESMERE DISTAN
1601 ARNICA LN
LANCASTER, CA 93535-4442
Phone number: 818-601-9714
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