Individual
FRANCES CHRISTINE CANTOS LAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 S RIVERSIDE AVE, RIALTO, CA 92376-7703
(909) 877-1361
Mailing address
1866 MIRA CT, RIVERSIDE, CA 92501-4310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4160
CA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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