Individual
LUCILE ISHIZUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
3900 GARFIELD AVE, CARMICHAEL, CA 95608-6647
(916) 481-6455
Mailing address
32 MOSSGLEN CIR, SACRAMENTO, CA 95826-1723
(916) 796-5617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53433
CA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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