Individual
CHARISSE ALBERT ANILAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10730 HENDERSON RD, VENTURA, CA 93004-1832
(805) 647-1141
(805) 647-1184
Mailing address
815 MARDIGRAS CT, CAMARILLO, CA 93010-3041
(805) 233-7355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT6464
CA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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