ANTONIO LAVERMON

LONG BEACH, CA
NPI1386129302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2018-09-25
Last Update Date2018-09-25
Business Address
ANTONIO LAVERMON
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 156-243-4445
Mailing Address
ANTONIO LAVERMON
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 156-243-4445