Individual
LOURDES CUNANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1527 SPRINGS RD, VALLEJO, CA 94591-5448
(707) 643-2793
Mailing address
185 PLATINUM CT, VALLEJO, CA 94589-3841
(415) 412-2809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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