Individual
NOLAN DE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7120 CORBIN AVE, RESEDA, CA 91335-3618
(818) 881-4540
Mailing address
1453 BLACKSTOCK AVE, SIMI VALLEY, CA 93065-3907
(805) 231-6708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49291
CA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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