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Individual

EDNA ENTSUAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1020 TIERRA DEL REY, CHULA VISTA, CA 91910-7886
(800) 976-7544
Mailing address
13370 CLEAR CANYON CT, EASTVALE, CA 92880-3028
(909) 560-9544

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
24854
CA

Other

Enumeration date
12/31/2024
Last updated
12/31/2024
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