CHRISTIAN KEKOA ALIVIADO

EL SEGUNDO, CA
NPI1063170736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence:   51580)
Enumeration Date2021-11-30
Last Update Date2021-11-30
Business Address
CHRISTIAN KEKOA ALIVIADO
2200 E MAPLE AVE
EL SEGUNDO, CA 90245-6507
Phone number: 310-316-6190
Mailing Address
CHRISTIAN KEKOA ALIVIADO
16807 FONTHILL AVE
TORRANCE, CA 90504-1211
Phone number: 310-989-0544
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