Individual
CLARISA G SUVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 S EUCLID AVE, ONTARIO, CA 91762-5826
(909) 984-6713
Mailing address
7770 AROSIA DR, FONTANA, CA 92336-4042
(626) 524-4152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9589
CA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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