Individual
JOSE MARI MALPAS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5857 LORELEI AVE, LAKEWOOD, CA 90712-1302
(626) 634-0072
Mailing address
5857 LORELEI AVE, LAKEWOOD, CA 90712-1302
(626) 634-0072
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-00033682
CA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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