Jesse Maravilla
NPI #1194870808 in Garden Grove, California
Provider Information
- NPI Number
- 1194870808
- Entity Type
- Individual
- Name
- Jesse Maravilla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 13341 GARDEN GROVE BLVD
- City
- Garden Grove
- State
- California
- ZIP Code
- 92843-2255
- Phone
- (714) 750-4097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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