Individual
DAMIANO CENTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3321 ALANREED AVE APT B, ROSEMEAD, CA 91770-2561
(626) 215-9993
Mailing address
3321 ALANREED AVE APT B, ROSEMEAD, CA 91770-2561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT 6075
CA
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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