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Individual

MR. ROBERTO RECILLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1675 PO BOX, HAWTHORNE, CA 90251
(323) 482-9669
(323) 541-1107
Mailing address
1675 PO BOX, HAWTHORNE, CA 90251
(323) 789-5640
(323) 789-5648

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
11/30/2007
Last updated
12/23/2010
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