Individual
IRENE TABALOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7065 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0355
(559) 439-7041
Mailing address
7065 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9342
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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