SANAM EJAZ

RANCHO CUCAMONGA, CA
NPI1295511608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  50639)
Enumeration Date2023-09-01
Last Update Date2023-09-01
Business Address
SANAM EJAZ PTA
9695 BASE LINE RD
RANCHO CUCAMONGA, CA 91730-1314
Phone number: 909-481-0437
Mailing Address
SANAM EJAZ PTA
6350 SERPENS CT
EASTVALE, CA 91752-7616
Phone number: 949-310-9139