Individual
MARCUS MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 LANG ST, SAN JUAN BAUTISTA, CA 95045-9401
(408) 390-0094
Mailing address
166 LANG ST, SAN JUAN BAUTISTA, CA 95045-9401
(408) 390-0094
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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