Individual
AIZZA MARIE DE LOS ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
Mailing address
150 W FOOTHILL BLVD APT 6B, POMONA, CA 91767-1155
(310) 592-9513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT298699
CA
Other
Enumeration date
09/14/2020
Last updated
06/16/2022
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