Individual
MR. ANGELO B COLLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
408 N WABASH AVE, GLENDORA, CA 91741-2615
(626) 841-1290
Mailing address
408 N WABASH AVE, GLENDORA, CA 91741-2615
(626) 841-1290
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT2479
CA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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