Individual
CAROLINA VILLAGOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
402 S PROSPECTORS RD STE I, DIAMOND BAR, CA 91765-1618
(909) 922-2497
Mailing address
2129 CRYSTAL PL, POMONA, CA 91767
(909) 929-9243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49893
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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