Individual
ERIC JOHN DEL MAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23426 MEHDEN AVE, CARSON, CA 90745-5222
(310) 977-1346
Mailing address
23426 MEHDEN AVE, CARSON, CA 90745-5222
(310) 977-1346
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2459
CA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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