Organization
AARN COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO R DACLISON RPT (OWNER)
(626) 236-2302
Entity
Organization
Contact information
Practice address
2443 PAULINE ST, WEST COVINA, CA 91792-2613
(626) 236-2302
Mailing address
2443 PAULINE ST, WEST COVINA, CA 91792-2613
(626) 236-2302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16434
CA
Other
Enumeration date
06/23/2007
Last updated
08/21/2007
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