Individual
NELSON LABIOS MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12831 MACLAY ST, SYLMAR, CA 91342-4934
(818) 361-4455
Mailing address
27656 IRONSTONE DR APT 3, CANYON COUNTRY, CA 91387-3584
(818) 472-3196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9347
CA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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