Individual
ALONSO BRIBIESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13177 RAMONA BLVD, STE. C, IRWINDALE, CA 91706-3855
(626) 960-4020
Mailing address
609 W BAYLESS ST, AZUSA, CA 91702-3423
(626) 969-6121
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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