MARCUS SHANE CAVINESS

COVINA, CA
NPI1922135235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Mr. MARCUS SHANE CAVINESS
1126 N GRAND AVE #D
COVINA, CA 91724-1551
Phone number: 626-967-1667
Mailing Address
Mr. MARCUS SHANE CAVINESS
15333 GARFIELD DR 1126 N. GRAND AVE.
FONTANA, CA 92336-4015
Phone number: 909-854-0494