Individual
GLORIA BURRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S GRAND AVE, COVINA, CA 91724-3638
(626) 859-6200
(626) 938-0397
Mailing address
600 S GRAND AVE, COVINA, CA 91724-3638
(626) 859-6200
(626) 938-0397
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7544A
—
CA
Enumeration date
03/06/2007
Last updated
07/08/2007
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