Individual
MELISSA CHALONGWONGSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 E 6TH ST # 204, CORONA, CA 92879-1732
(909) 833-1099
(888) 856-3880
Mailing address
310 N INDIAN HILL BLVD # 413, CLAREMONT, CA 91711-4611
(909) 833-1099
(888) 856-3880
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5198
CA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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