Individual
MAURA RAQUEL ESCOBAR GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2677 ZOE AVE, HUNTINGTON PARK, CA 90255-4195
(424) 442-9129
Mailing address
1701 E TUCKER ST, COMPTON, CA 90221-1641
(424) 731-6103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6655
CA
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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