RUEL MARASIGAN AMADOR RPT
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1609358449- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RPT
- Status
- Active
Contact & Location
- Address
- 2062 SUGARBOWL WAY, LODI, CA, 952424752
- Phone
- (209) 200-6796
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: CA #28136
All Addresses
MAILING
2062 SUGARBOWL WAY
LODI, CA, 952424752