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Individual

MR. MARCO DIMAILIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
624 S BERENDO ST APT 404, LOS ANGELES, CA 90005-1749
(818) 648-2170
Mailing address
624 S BERENDO ST APT 404, LOS ANGELES, CA 90005-1749
(818) 648-2170

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT00049914
CA

Other

Enumeration date
07/16/2020
Last updated
07/16/2020
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