IVAN GAVIDIA

TORRANCE, CA
NPI1881234342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2020-01-13
Last Update Date2020-01-13
Business Address
IVAN GAVIDIA
19401 S VERMONT AVE # L102
TORRANCE, CA 90502-1029
Phone number: 310-323-6887
Mailing Address
IVAN GAVIDIA
19401 S VERMONT AVE # L102
TORRANCE, CA 90502-1029
Phone number: 310-323-6887