MARK PHILIP PILAC HERNANDEZ

NORTHRIDGE, CA
NPI1194597930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  046759)
Enumeration Date2023-10-25
Last Update Date2023-10-25
Business Address
Mr. MARK PHILIP PILAC HERNANDEZ
9400 PETIT AVENUE
NORTHRIDGE, CA 91343
Phone number: 818-271-7167
Mailing Address
Mr. MARK PHILIP PILAC HERNANDEZ
9400 PETIT AVENUE
NORTHRIDGE, CA 91343
Phone number: