Individual
MRS. LORELI MARIE GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, PTA
Contact information
Practice address
1519 W YOSEMITE AVE, MANTECA, CA 95337-5159
(209) 823-3322
Mailing address
1519 W YOSEMITE AVE, MANTECA, CA 95337-5159
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA48295
CA
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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