STACY ANN LATA

SAN DIEGO, CA
NPI1528365269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT 1715)
Enumeration Date2011-02-15
Last Update Date2011-02-15
Business Address
-- STACY ANN LATA PTA
17323 CAMPILLO DR
SAN DIEGO, CA 92128-2149
Phone number: 858-485-0848
Mailing Address
-- STACY ANN LATA PTA
17323 CAMPILLO DR
SAN DIEGO, CA 92128-2149
Phone number: 185-848-5084
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