ROSEANNE SOFIA EVANGELISTA BLANCO

SANTA MONICA, CA
NPI1043042526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  26770)
Enumeration Date2024-08-14
Last Update Date2024-08-14
Business Address
ROSEANNE SOFIA EVANGELISTA BLANCO OTR/L
1932 14TH ST
SANTA MONICA, CA 90404-4605
Phone number: 310-344-2276
Mailing Address
ROSEANNE SOFIA EVANGELISTA BLANCO OTR/L
3822 MONTCLAIR ST
LOS ANGELES, CA 90018-2363
Phone number: 808-451-7049