Individual
MARIO ALBERTO SANCHEZ PUBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1206 GLEN AVE, POMONA, CA 91768-1212
(323) 203-4769
Mailing address
10292 CENTRAL AVE APT 287, MONTCLAIR, CA 91763-3802
(323) 203-4769
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-555
CA
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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