LEILANI BASILIO FONACIER

LOS ANGELES, CA
NPI1144619255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  12394)
Enumeration Date2015-01-13
Last Update Date2015-01-13
Business Address
-- LEILANI BASILIO FONACIER MAOT, OTR/L
5710 S GLENNIE LN APT F
LOS ANGELES, CA 90016-1062
Phone number: 323-992-7100
Mailing Address
-- LEILANI BASILIO FONACIER MAOT, OTR/L
5710 S GLENNIE LN APT F
LOS ANGELES, CA 90016-1062
Phone number:
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