Individual
MR. ERIC FERNANDO RAIGOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
354 S SIESTA AVE, LA PUENTE, CA 91746-2535
(626) 890-8790
Mailing address
354 SOUTH SIESTA AVENUE, LA PUENTE, CA 91746
(626) 890-8790
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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