Individual
MS. LAURA MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 N ELEANOR ST, POMONA, CA 91767-4036
(808) 499-7983
Mailing address
1180 N ELEANOR ST, POMONA, CA 91767-4036
(808) 499-7983
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4789
CA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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