Individual
MARIEL JACQUES LANSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2700 N MAIN ST STE 945, SANTA ANA, CA 92705-6678
(714) 542-1234
Mailing address
11721 186TH ST, ARTESIA, CA 90701-5520
(714) 486-7140
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
02/16/2018
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