Individual
MARYROSE PHARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4435 EASTGATE MALL STE 120, SAN DIEGO, CA 92121-1980
(858) 578-8669
Mailing address
2790 HAVASUPAI AVE, SAN DIEGO, CA 92117-1634
(619) 316-4959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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