GLENN LALLAVE

GLENDALE, CA
NPI1821454869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  43306)
Enumeration Date2016-01-06
Last Update Date2021-12-02
Business Address
GLENN LALLAVE
439 W STOCKER ST APT 103
GLENDALE, CA 91202-2371
Phone number: 323-428-4306
Mailing Address
GLENN LALLAVE
439 W STOCKER ST APT 103
GLENDALE, CA 91202-2371
Phone number: