Individual
CARLO MATIBAG
Active
Individual
CARLO MATIBAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
26407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A9415489
CA DL
CA
Enumeration date
12/19/2018
Last updated
12/19/2018
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