LORD CHRISTOPHER BAGACINA LARCENA

GLENDALE, CA
NPI1265932180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  038246-1)
Enumeration Date2018-02-16
Last Update Date2018-02-16
Business Address
Mr. LORD CHRISTOPHER BAGACINA LARCENA
212 W GARFIELD AVE APT 108
GLENDALE, CA 91204-2146
Phone number: 818-296-5119
Mailing Address
Mr. LORD CHRISTOPHER BAGACINA LARCENA
212 W GARFIELD AVE APT 108
GLENDALE, CA 91204-2146
Phone number: 818-296-5119