DIORELLA MARIEL G ENRIQUEZ

THOUSAND OAKS, CA
NPI1841888567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  49705)
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
DIORELLA MARIEL G ENRIQUEZ
250 FAIRVIEW RD
THOUSAND OAKS, CA 91361-2456
Phone number: 805-494-1233
Mailing Address
DIORELLA MARIEL G ENRIQUEZ
2016 ALSCOT AVE
SIMI VALLEY, CA 93063-3806
Phone number: 818-687-3187
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