Individual
MARA SUNSHINE REGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-8336
Mailing address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-8336
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
30511
CA
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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