Deverion Darnell Mackey

NPI 1689909228 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1689909228
Gender Male
Enumeration Date 10/15/2009
Last Updated 10/15/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2055 LINCOLN AVE
PASADENA CA, 91103-1324, US
Phone (626) 798-6793
Fax
Business Location
2055 LINCOLN AVE
PASADENA CA, 91103-1324, US
Phone (626) 798-6793
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Deverion Darnell Mackey NPI is 1689909228, taxonomy code is 225400000X Deverion Darnell Mackey physically located at 2055 Lincoln Ave, Pasadena CA, 91103-1324. NPI Number Deverion Darnell Mackey has the Individual type.

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1689909228 NPI number is provided on an as is basis without warranty of any kind. 1689909228 is maintained by the National Plan & Provider Enumeration System. The contents of Deverion Darnell Mackey are for informational purposes only.