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Individual

ELLINE ROSE DRILON LINTERNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2371 SHAWN DR, SAN PABLO, CA 94806-1658
(512) 912-6143
Mailing address
2371 SHAWN DR, SAN PABLO, CA 94806-1658

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
40958
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F7249163
DMV
CA
Enumeration date
04/24/2015
Last updated
04/24/2015
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