Leilani Basilio Fonacier
ActiveCalifornia license 12394
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 12394
- Status
- Active (Current)
- First issued
- December 15, 2011
- Expires
- April 30, 2028
- License holder
- Leilani Basilio Fonacier
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
3691 S La Cienega Blvd
Los Angeles, CA 90016-4408
Los Angeles, CA 90016-4408
Los Angeles County