Individual
ERALYN SAN LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19123 WELBY WAY, RESEDA, CA 91335-5025
(818) 854-2685
Mailing address
19123 WELBY WAY, RESEDA, CA 91335-5025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8091
CA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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