LANI FONTILLAS

DAVIS, CA
NPI1679029102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  48143)
Enumeration Date2016-08-25
Last Update Date2016-08-25
Business Address
-- LANI FONTILLAS PTA
1515 SHASTA DR
DAVIS, CA 95616-6691
Phone number: 530-747-7000
Mailing Address
-- LANI FONTILLAS PTA
4560 SE INTERNATIONAL WAY SUITE 100
MILWAUKIE, OR 97222-4628
Phone number: