Individual
ALVIN OBMANA LLAMAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
12139 MOUNT VERNON AVE, SUITE 110, GRAND TERRACE, CA 92313-5586
(909) 370-3396
Mailing address
12139 MOUNT VERNON AVE, SUITE 110, GRAND TERRACE, CA 92313-5586
(909) 370-3396
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8199
CA
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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