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Individual

CANDY EUSEBIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
15302 EL PRADO RD, CHINO, CA 91710-7659
(909) 393-7222
Mailing address
14166 VIA LUCIO, TUSTIN, CA 92780-2029

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48777
CA

Other

Enumeration date
08/25/2017
Last updated
08/25/2017
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