Individual
MR. MICHALE BANDOY MOLINYAWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2217 20TH ST, SANTA MONICA, CA 90405-1703
(310) 403-0637
Mailing address
2217 20TH ST, SANTA MONICA, CA 90405-1703
(310) 403-0637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8012
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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