Individual
MARK CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S KINESIOLOGY,CSCS
Contact information
Practice address
2464 FENTON PKWY APT 201, SAN DIEGO, CA 92108-6705
(619) 263-0239
(619) 858-2210
Mailing address
PO BOX 12817, SAN DIEGO, CA 92112-3817
(619) 263-0239
(619) 858-2210
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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