Individual
MR. LARRY SKUBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
861 S HARBOR BLVD, ANAHEIM, CA 92805-5157
(714) 635-8131
Mailing address
10141 KAIMU DR, HUNTINGTON BEACH, CA 92646-2508
(714) 357-0333
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AT3595
CA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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