Individual
PHILIP JURY ALCEBAR LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 MISSION RD, GLENDALE, CA 91205-3328
(818) 247-4476
Mailing address
16005 S HARVARD BLVD APT A, GARDENA, CA 90247-6153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49876
CA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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