Individual
MR. ALFRED SIMON MELENDREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15707 VALLEY BLVD, CITY OF INDUSTRY, CA 91744-3932
(626) 961-1152
Mailing address
1129 N 10TH ST, COLTON, CA 92324-2447
(909) 422-1466
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3379
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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