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Individual

FRANK MARISCAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505
(909) 599-1227
Mailing address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
285623
CA

Other

Enumeration date
07/13/2023
Last updated
07/13/2023
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