Individual
MR. ALFREDO ZARA ILAGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1132 MARTIN LUTHER KING JR AVE APT B, TULARE, CA 93274-5862
(626) 272-7220
Mailing address
1132 MARTIN LUTHER KING JR AVE APT B, TULARE, CA 93274-5862
(626) 272-7220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36502
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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