Individual
MS. GAYLE SAN MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29040 SECO CYN, SANTA CLARITA, CA 91390-4086
(661) 296-1529
Mailing address
29040 SECO CYN, SANTA CLARITA, CA 91390-4086
(661) 296-1529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4872
—
CA
Enumeration date
12/05/2011
Last updated
12/05/2011
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