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MRS. EDNA DULCE WELLER - FUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6277
Mailing address
923 E CITRUS EDGE ST, AZUSA, CA 91702-4736

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
595
CA

Other

Enumeration date
06/05/2017
Last updated
06/05/2017
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