SAMUEL BLANCO

ANAHEIM, CA
NPI1487297925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  50357)
Enumeration Date2019-10-28
Last Update Date2019-10-28
Business Address
SAMUEL BLANCO
215 N STATE COLLEGE BLVD STE G
ANAHEIM, CA 92806-2932
Phone number: 714-999-6596
Mailing Address
SAMUEL BLANCO
143 W BLUEBELL AVE
ANAHEIM, CA 92802-4810
Phone number: