DAJEONG NAM

FONTANA, CA
NPI1366040008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT299273)
Enumeration Date2020-10-14
Last Update Date2020-10-14
Business Address
DAJEONG NAM DPT
8545 SIERRA AVE
FONTANA, CA 92335-3868
Phone number: 909-365-3557
Mailing Address
DAJEONG NAM DPT
8545 SIERRA AVE
FONTANA, CA 92335-3868
Phone number: 909-365-3557
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