LANITA MACK

HUNTINGTON BEACH, CA
NPI1760641682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  34437)
Enumeration Date2008-06-05
Last Update Date2010-08-17
Business Address
-- LANITA MACK DPT
7400 CENTER AVE
HUNTINGTON BEACH, CA 92647-3094
Phone number: 323-000-0000
Mailing Address
-- LANITA MACK DPT
20292 MAJESTIC DR
APPLE VALLEY, CA 92308-5030
Phone number: 323-528-6993