ETHELAINE CENTENO

SAN MARCOS, CA
NPI1740636232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  3520)
Enumeration Date2016-05-13
Last Update Date2016-05-13
Business Address
-- ETHELAINE CENTENO OTR
1615 S. RANCHO SANTA FE ROAD
SAN MARCOS, CA 92078
Phone number: 619-339-5606
Mailing Address
-- ETHELAINE CENTENO OTR
PO BOX 507073
SAN DIEGO, CA 92150
Phone number:
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