MARIAH MYRNA LONTOK MAICO

LYNWOOD, CA
NPI1477316875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  OT10397)
Enumeration Date2024-01-30
Last Update Date2024-01-30
Business Address
MARIAH MYRNA LONTOK MAICO OTR/L
3680 IMPERIAL HWY 3RD FLOOR, SUITE 350
LYNWOOD, CA 90262
Phone number: 310-220-6108
Mailing Address
MARIAH MYRNA LONTOK MAICO OTR/L
817 W BEVERLY BLVD STE 201
MONTEBELLO, CA 90640-4265
Phone number: 562-927-5820