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Individual

DIANA MARISSA VELASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1902 ROYALTY DR, POMONA, CA 91767-3030
(909) 620-9700
Mailing address
23410 TORONJA CORTE, CORONA, CA 92883-9369

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49092
CA

Other

Enumeration date
04/24/2018
Last updated
04/24/2018
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