SHANE MICHAEL ENRIQUEZ

LAGUNA NIGUEL, CA
NPI1972273670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  51442)
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
SHANE MICHAEL ENRIQUEZ
31271 NIGUEL RD STE J
LAGUNA NIGUEL, CA 92677-4135
Phone number: 949-443-5442
Mailing Address
SHANE MICHAEL ENRIQUEZ
PO BOX 7840
LAGUNA NIGUEL, CA 92607-7840
Phone number: 949-443-5442
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