MIGUEL ANTONIO ULLOA

SIERRA MADRE, CA
NPI1255016861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Y00000X Clinical Exercise Physiologist
Enumeration Date2023-06-20
Last Update Date2023-06-20
Business Address
MIGUEL ANTONIO ULLOA
245 W SIERRA MADRE BLVD
SIERRA MADRE, CA 91024-2355
Phone number: 626-314-7862
Mailing Address
MIGUEL ANTONIO ULLOA
830 S CORAL TREE DR
WEST COVINA, CA 91791-3327
Phone number: 626-991-0122