JESSE GRULLON

LOS ANGELES, CA
NPI1518585512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251S0007X Physical Therapist, Sports
(Licence: CA  PT298714)
Enumeration Date2020-07-07
Last Update Date2021-03-22
Business Address
JESSE GRULLON DPT
1031 W 34TH ST STE 450
LOS ANGELES, CA 90089-2070
Phone number: 213-740-0215
Mailing Address
JESSE GRULLON DPT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 213-740-0215
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