Individual
GISSELLE ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
(909) 586-0509
Mailing address
11928 CACTUS CT, FONTANA, CA 92337-0798
(909) 697-6872
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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