Individual
MR. CAMERON ISAIAH LEBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 S ATLANTIC BLVD, ALHAMBRA, CA 91801-3257
(626) 289-4178
Mailing address
25885 TRABUCO RD APT 65, LAKE FOREST, CA 92630-6616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23805
CA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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