Individual
PRINCESS PILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CANAL ST APT 8, SAN RAFAEL, CA 94901-4128
(818) 599-3084
Mailing address
420 CANAL ST APT 8, SAN RAFAEL, CA 94901-4128
(818) 599-3084
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5076
CA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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