Individual
MARLON MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 HUNTINGTON DR, DUARTE, CA 91010-2477
(626) 359-6618
Mailing address
533 N HOWARD AVE, COVINA, CA 91723-1618
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTA49048
CA
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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