Individual
ALEXIS NABONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
842 E VILLA ST, PASADENA, CA 91101-1259
(626) 463-5300
Mailing address
17910 MALDEN ST, NORTHRIDGE, CA 91325-3818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21908
CA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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