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GUSTAVO ADOLFO ARDON

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1831691047

Individual Registrant:
 GUSTAVO ADOLFO ARDON 
Gender: M
Sole Proprietor

Location and contact information for practice:
8539 BEVERLY PARK PL  PICO RIVERA, CA 90660-1920 US
Tel: 323-742-0390  Fax: --

Contact information for business:
8539 BEVERLY PARK PL  PICO RIVERA, CA 90660-1920 US
Tel: 323-742-0390  Fax: --

Registration Information:
NPI: 1831691047
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
CA59546

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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