Individual
MRS. MELLANY JAVIER ILAGAN-ADAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21183 SAILORS BAY LN, HUNTINGTON BEACH, CA 92646-6920
(989) 884-3278
Mailing address
PO BOX 467, HUNTINGTON BEACH, CA 92648-0467
(989) 884-3278
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT37238
CA
Other
Enumeration date
11/19/2010
Last updated
09/03/2015
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