Individual
MARK ENCINARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 RAVENHILL DR, POMONA, CA 91766-4725
(909) 620-6610
Mailing address
12 RAVENHILL DR, POMONA, CA 91766-4725
(909) 620-6610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48249
CA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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