Individual
TIBERIU MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9012 COLBREGGAN DR, HUNTINGTON BEACH, CA 92646-5814
(714) 876-3630
Mailing address
9012 COLBREGGAN DR, HUNTINGTON BEACH, CA 92646-5814
(714) 876-3630
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A290464
CA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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