Individual
MA. FRANCHETTE BERNA CUSTODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 N HIGHLAND AVE, LOS ANGELES, CA 90068-1373
(323) 471-1237
Mailing address
1163 RAYMOND AVE APT 2, GLENDALE, CA 91201-1823
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
304001
CA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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