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Individual

ANTONIO ARICO FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
41505 CARLOTTA DR, PALM DESERT, CA 92211-3279
(760) 600-5904
Mailing address
25615 RIVER BANK DR APT G, YORBA LINDA, CA 92887-6253
(909) 362-1101

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298640
CA

Other

Enumeration date
12/18/2020
Last updated
12/18/2020
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