PROTOTYPES

PASADENA, CA
NPI1568891612
Entity TypeOrganization
Authorized ContactREBECCA MEDINA SNYDER
Supervisor Ii
626-577-2261
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2013-11-08
Last Update Date2013-11-08
Business Address
PROTOTYPES
2555 E COLORADO BLVD SUITE 100-101
PASADENA, CA 91107-6622
Phone number: 626-577-2261
Mailing Address
PROTOTYPES
2555 E COLORADO BLVD SUITE 100-101
PASADENA, CA 91107-6622
Phone number: 626-577-2261
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