Individual
MARK ASIEL LOZANO MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1347 AUBURN WAY N, AUBURN, WA 98002-4110
(253) 553-2415
Mailing address
29122 120TH WAY SE, AUBURN, WA 98092-3268
(206) 697-7467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161120209
WA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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