JOSE LUIS AVELLANA PERRENOUD

RANCHO CUCAMONGA, CA
NPI1598937641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 14544)
Enumeration Date2008-03-28
Last Update Date2008-03-28
Business Address
-- JOSE LUIS AVELLANA PERRENOUD
5489 RUTLAND CT
RANCHO CUCAMONGA, CA 91739-8918
Phone number: 909-563-8993
Mailing Address
-- JOSE LUIS AVELLANA PERRENOUD
5489 RUTLAND CT
RANCHO CUCAMONGA, CA 91739-8918
Phone number: 909-563-8993
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