Individual
MRS. EDNA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 HUNTINGTON DR, DUARTE, CA 91010-2686
(626) 993-3000
(626) 301-9770
Mailing address
1801 HUNTINGTON DR, DUARTE, CA 91010-2686
(626) 993-3000
(626) 301-9770
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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