Individual
JOHN NALLIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 286-1191
Mailing address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 286-1191
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
27992
CA
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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