RICARDO R DACLISON

WEST COVINA, CA
NPI1558554790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT16434)
Enumeration Date2007-08-21
Last Update Date2007-08-21
Business Address
RICARDO R DACLISON RPT
2443 PAULINE ST
WEST COVINA, CA 91792-2613
Phone number: 626-236-2302
Mailing Address
RICARDO R DACLISON RPT
2443 PAULINE ST
WEST COVINA, CA 91792-2613
Phone number: 626-236-2302
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