Individual
ANAEVA MARTINEZ PADRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1710 RICHARD ST, POMONA, CA 91767-3510
(951) 203-7133
Mailing address
1710 RICHARD ST, POMONA, CA 91767-3510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16255
CA
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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