LARRY FONTANILLA

NORTHRIDGE, CA
NPI1841327756
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
LARRY FONTANILLA
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
Mailing Address
LARRY FONTANILLA
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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