Individual
LEA GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1471 S RIVERSIDE AVE, RIALTO, CA 92376-7703
(909) 877-1361
Mailing address
25270 PROSPECT AVE APT 4, LOMA LINDA, CA 92354-3039
(909) 269-3420
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9756
CA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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