Individual
ROLAND J MANURUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8465 CHAFFEE ST, RANCHO CUCAMONGA, CA 91730-5009
(909) 510-0586
Mailing address
8465 CHAFFEE ST, RANCHO CUCAMONGA, CA 91730-5009
(909) 510-0586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50608
CA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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