Individual
VINCENT ZANDREW L ILAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17166 RINALDI ST., GRANADA HILLS, CA 91344
(760) 887-8874
Mailing address
8550 BALBOA BLVD, SUITE 242, NORTHRIDGE, CA 91325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50223
CA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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