Individual
DAILEEN CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 N BACKTON AVE, LA PUENTE, CA 91744-5331
(626) 532-6231
Mailing address
133 N BACKTON AVE, LA PUENTE, CA 91744-5331
(626) 532-6231
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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