Individual
MCWAYNE MASKARINO ENAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 DE ANZA LN, HERCULES, CA 94547-5437
(415) 290-2644
Mailing address
2045 DE ANZA LN, HERCULES, CA 94547-5437
(415) 290-2644
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
26651
CA
Other
Enumeration date
02/03/2019
Last updated
01/14/2022
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