MARTIN LAGO

LOS ANGELES, CA
NPI1972992667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  3001)
Enumeration Date2015-01-18
Last Update Date2015-01-18
Business Address
-- MARTIN LAGO
5310 FOUNTAIN AVE
LOS ANGELES, CA 90029-1005
Phone number: 323-461-9961
Mailing Address
-- MARTIN LAGO
405 N MADISON AVE UNIT 9
PASADENA, CA 91101-1439
Phone number: