Individual
MARIA MARCIA PUERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5437 ORANGE AVE, LONG BEACH, CA 90805-6147
(562) 280-6924
Mailing address
5437 ORANGE AVE, LONG BEACH, CA 90805-6147
(562) 280-6924
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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