Individual
MS. AMABELLA ELSA AYERDI LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11404 S. BUDLONG AVE.,, APT.. 9, GARDENA, CA 90247-9999
(310) 525-6909
(310) 819-8810
Mailing address
14404 S BUDLONG AVE, APT. 9, GARDENA, CA 90247-2519
(310) 525-6909
(310) 819-8810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8939
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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