Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033431184 |
---|---|
Provider Name | Veronica Maria Flores |
First Address | Fullerton, CA 92831-3846 |
Second Address | Fullerton, CA 92831-3846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2010 |
Last Update Date | 18/09/2017 |