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Individual

CHESTER DANGANAN GUEVARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
215 N STATE COLLEGE BLVD STE G, ANAHEIM, CA 92806-2932
(714) 999-6596
Mailing address
9610 SPRINGBROOK DR, RANCHO CUCAMONGA, CA 91730-7915

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48782
CA

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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