STELLA MODERAU

LA MESA, CA
NPI1659480788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT1210)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- STELLA MODERAU PTA
8090 PARKWAY DR
LA MESA, CA 91942-2105
Phone number: 619-697-3093
Mailing Address
-- STELLA MODERAU PTA
2532 J AVE
NATIONAL CITY, CA 91950-7521
Phone number: 619-697-0018
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