Individual
HANRE LE ROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 CLAIREMONT MESA BLVD, STE. 200, SAN DIEGO, CA 92123-1234
(800) 787-6787
Mailing address
9089 CLAIREMONT MESA BLVD, STE. 200, SAN DIEGO, CA 92123-1234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8928
CA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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