LUCY MULYATNO

RIVERSIDE, CA
NPI1528757044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  24943)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
LUCY MULYATNO
4334 LATHAM ST STE 110
RIVERSIDE, CA 92501-1748
Phone number: 909-251-1321
Mailing Address
LUCY MULYATNO
4334 LATHAM ST
RIVERSIDE, CA 92501-1748
Phone number: