Individual
LOVELY LONGDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32819 YUCAIPA BLVD STE 3, YUCAIPA, CA 92399-1944
(909) 797-9010
(909) 797-9046
Mailing address
25573 LANE ST, LOMA LINDA, CA 92354-2412
(909) 556-5166
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50392
CA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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