CHARLES MARISA

COVINA, CA
NPI1821292459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2007-06-14
Last Update Date2015-07-06
Business Address
-- CHARLES MARISA
1126 N GRAND AVE SUITE D
COVINA, CA 91724-1551
Phone number: 626-967-1667
Mailing Address
-- CHARLES MARISA
1126 N GRAND AVE SUITE D
COVINA, CA 91724-1551
Phone number: 626-967-1667
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