ANASTASIA FE DARAVONG

SAN DIEGO, CA
NPI1346656014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  2660)
Enumeration Date2014-07-02
Last Update Date2014-07-02
Business Address
Mrs. ANASTASIA FE DARAVONG COTA/L
7850 MISSION CENTER CT SUITE 100
SAN DIEGO, CA 92108-1322
Phone number: 619-578-2232
Mailing Address
Mrs. ANASTASIA FE DARAVONG COTA/L
1130 S. WOODMAN ST APT 14
SAN DIEGO, CA 92114
Phone number: 619-243-6183
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