DOMILOU BONG UNIDO

GLENDALE, CA
NPI1386091262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT 8644)
Enumeration Date2016-05-19
Last Update Date2016-05-19
Business Address
Mr. DOMILOU BONG UNIDO PTA
1416 E WINDSOR RD
GLENDALE, CA 91205-2755
Phone number: 818-441-8343
Mailing Address
Mr. DOMILOU BONG UNIDO PTA
1416 E WINDSOR RD
GLENDALE, CA 91205-2755
Phone number: 818-441-8343
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