Individual
MICHAEL JOSEPH SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
22031 MAIN ST, UNIT 17, CARSON, CA 90745-2971
(310) 721-6116
Mailing address
22031 MAIN ST, UNIT 17, CARSON, CA 90745-2971
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA2942
CA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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