Individual
MR. MARVIN VIDAD PICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2648
Mailing address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2648
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
22350
CA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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