ELVY ADALIE FUENTES

GARDENA, CA
NPI1538739552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  22453)
Enumeration Date2021-06-30
Last Update Date2021-06-30
Business Address
ELVY ADALIE FUENTES
1203 W GARDENA BLVD APT B
GARDENA, CA 90247-5056
Phone number: 310-982-3623
Mailing Address
ELVY ADALIE FUENTES
1203 W GARDENA BLVD APT B
GARDENA, CA 90247-5056
Phone number: