BEN MICHAEL EVARDOME, PTA
Restorative Service Providers at Fairport Way, Yucaipa, CA

License number
California AT6602
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
34835 Fairport Way, Yucaipa, CA 92399
Phone
(909) 570-9573
National Provider ID: 1164754875
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ben Michael Evardome Organizat

34835 Fairport Way, Yucaipa, CA 92399

Industry:
Civic/Social Association
Principal, Pta:
Ben M. Evardome (Principal, Pta)

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