Individual
MYLENE SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19245 E VALLEY VIEW ST, WEST COVINA, CA 91792-3118
(626) 810-3907
Mailing address
19245 E VALLEY VIEW ST, WEST COVINA, CA 91792-3118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3586
CA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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