Individual
IRLANEA LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2500 COUNTRY DR, FREMONT, CA 94536-5356
(510) 792-4242
Mailing address
89 WABASH AVE APT 11, SAN JOSE, CA 95128-1963
(408) 750-6194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20791
CA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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