Individual
ANNABELLE DILEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3700
(707) 646-4150
Mailing address
4500 BUSINESS CENTER DR, FAIRFIELD, CA 94534-6888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35360
CA
Other
Enumeration date
08/21/2012
Last updated
05/08/2014
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