CHARISSE VINZELLE NACITO IMATONG

SANTA ANA, CA
NPI1598420143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  OTA4402)
Enumeration Date2021-11-08
Last Update Date2021-11-08
Business Address
CHARISSE VINZELLE NACITO IMATONG
1209 HEMLOCK WAY
SANTA ANA, CA 92707-3609
Phone number: 714-546-1966
Mailing Address
CHARISSE VINZELLE NACITO IMATONG
8831 1/2 RAMONA ST
BELLFLOWER, CA 90706-6334
Phone number: 310-847-9227
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