Individual
DANIEL MAZIN-LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 W BROADWAY STE 800, SAN DIEGO, CA 92101-3546
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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