Individual
MR. JEORGE T MAKINOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44567 15TH ST W, LANCASTER, CA 93534-2803
(661) 949-5524
Mailing address
4560 SE INTERNATIONAL WAY STE 100, PORTLAND, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5260
CA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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