Individual
JOEMAR T PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 E 231ST ST, CARSON, CA 90745-4922
(562) 391-3691
Mailing address
412 E 231ST ST, CARSON, CA 90745-4922
(562) 391-3691
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50573
CA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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