Individual
ARIANE TYRA DUMALUS MANALASTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S HOBART BLVD APT 302, LOS ANGELES, CA 90005-6606
(310) 955-6301
Mailing address
825 S HOBART BLVD APT 302, LOS ANGELES, CA 90005-6606
(310) 955-6301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4360
CA
Other
Enumeration date
02/25/2020
Last updated
03/03/2020
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