PROTOTYPES OUTPATIENT SERVICES

POMONA, CA
NPI1659575678
Entity TypeOrganization
Authorized ContactCAROLYN LATTA-CLARK
Director
909-398-4383
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2007-06-13
Last Update Date2022-07-21
Business Address
PROTOTYPES OUTPATIENT SERVICES
831 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-398-4383
Mailing Address
PROTOTYPES OUTPATIENT SERVICES
831 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-398-4383
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