Individual
GIOVANNI ANTONIO LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39950 VISTA DEL SOL, RANCHO MIRAGE, CA 92270-3206
(760) 340-0053
Mailing address
40288 ORCHIDTREE CT, PALM DESERT, CA 92260-2334
(760) 601-5084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10371
CA
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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