Individual
EYDEE MAZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 SOUTHAMPTON RD, BENICIA, CA 94510-1907
(707) 745-6144
(707) 745-5698
Mailing address
860 SOUTHAMPTON RD, BENICIA, CA 94510-1907
(707) 745-6144
(707) 745-5698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5682
CA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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