Individual
DR. EDMUND MONTESA CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
1220 S CENTRAL AVE, SUITE 102, GLENDALE, CA 91204-2547
(818) 241-2221
Mailing address
1220 S CENTRAL AVE, SUITE 102, GLENDALE, CA 91204-2547
(818) 241-2221
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-379
CA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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