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Individual

ALEXIS MAILE DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1020 S ARROYO PKWY, PASADENA, CA 91105-3911
(626) 403-2794
Mailing address
2421 EL TORO RD, DUARTE, CA 91010-3423
(626) 367-3377

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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