Individual
GUSTAVO ADOLFO ARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8539 BEVERLY PARK PL, PICO RIVERA, CA 90660-1920
(323) 742-0390
Mailing address
8539 BEVERLY PARK PL, PICO RIVERA, CA 90660-1920
(323) 742-0390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
59546
CA
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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