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Individual

HARDY IJOMAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
480 JAMACHA RD APT 2, EL CAJON, CA 92019-2440
(619) 857-0938
Mailing address
1041 STONE HAVEN COURT, RIVERSIDE, CA 92507
(619) 857-0938

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10626
CA

Other

Enumeration date
01/06/2015
Last updated
05/04/2020
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