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Imelda Baloy Fauni

Physical Therapist in Montebello, CA. Individual provider (NPI-1).

NPI number1982247227
StatusActive
Last updated in NPPESOct 18, 2019

Details

NPI
1982247227
Entity type
Individual (NPI-1)
Name
Imelda Baloy Fauni
Sex
Female
Sole proprietor
No
Enumeration date
Oct 18, 2019
Last updated
Oct 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT26090CAYes

Practice location

433 N 4th St Ste 216
Montebello, CA 90640-4309

Phone 323-530-0433

Mailing address

13819 Carrotwood Ct
Chino, CA 91710-7470

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