Provider Information for 1992837066
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Miss MONTSERRATH CALDERON MFTI
Sex: Female
NPI: 1992837066
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1992837066 | ||||||||
| Enumeration Date | 2007-03-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1641 WHITTIER, CA 90609-1641 United States Phone: 323-313-4640 | Fax: | ||||||||
| Primary Practice Address | 21520 PIONEER BLVD HAWAIIAN GARDENS, CA 90716-2603 United States Phone: 323-313-4640 | Fax: | ||||||||
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