Individual
AMALIA STEPHANY PORCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25101 MODOC DR, LAGUNA HILLS, CA 92653-5117
(949) 547-1063
Mailing address
25101 MODOC DR, LAGUNA HILLS, CA 92653-5117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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