Individual
JOHN SRICHAROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12930 LINN ST, YUCAIPA, CA 92399-4836
(310) 630-7357
Mailing address
12930 LINN ST, YUCAIPA, CA 92399-4836
(313) 630-7357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52453
CA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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