Individual
MARCELINO LACUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6538 TELEGRAPH RD, COMMERCE, CA 90040-2518
(562) 726-3212
(562) 726-0942
Mailing address
7300 ALONDRA BLVD STE 101, PARAMOUNT, CA 90723-4000
(562) 531-8300
(562) 531-8035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48344
CA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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