Individual
CRIZELDA MALLARES-REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12707 HARLOW AVE, RIVERSIDE, CA 92503-4613
(714) 204-5670
Mailing address
12707 HARLOW AVE, RIVERSIDE, CA 92503-4613
(714) 204-5670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9239
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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