DYWANA CAROLYN MACK

CARSON, CA
NPI1538375167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  at 3079)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
Mrs. DYWANA CAROLYN MACK pta
1 CIVIC PLAZA DR SUITE 625
CARSON, CA 90745-2243
Phone number: 310-549-4500
Mailing Address
Mrs. DYWANA CAROLYN MACK pta
23357 BALMORAL LN
WEST HILLS, CA 91307-1431
Phone number:
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