Individual
WILBUR ADRIAN DIENTE BARSANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3364 BEYER BLVD, SAN YSIDRO, CA 92173-1322
(619) 205-4585
Mailing address
6844 FUJI ST, SAN DIEGO, CA 92139-2013
(951) 834-7225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8544
CA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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