Individual
MR. DEXTER DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 S FREMONT AVE, SUITE 10100, ALHAMBRA, CA 91803-8800
(626) 289-7472
Mailing address
3344 COMMUNITY AVE, LA CRESCENTA, CA 91214-2554
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2546
CA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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