Individual
MR. ISMAEL PURA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11900 ARTESIA BLVD, ARTESIA, CA 90701-4039
(562) 865-0271
Mailing address
11900 ARTESIA BLVD, ARTESIA, CA 90701-4039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9105
CA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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