Individual
MR. MARC PAELO TUMAMAK VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
23061 VIA PIMIENTO, MISSION VIEJO, CA 92691-2833
(949) 485-8188
Mailing address
23061 VIA PIMIENTO, MISSION VIEJO, CA 92691-2833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 9762
CA
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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