Individual
SERENO ESPONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3532 ALAMEDA DE LAS PULGAS, MENLO PARK, CA 94025-6510
(650) 561-9589
Mailing address
652 BAYVIEW AVE, MILLBRAE, CA 94030-1159
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT303142
CA
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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