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RUEL MARASIGAN AMADOR RPT
>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1609358449
Individual Registrant: RUEL MARASIGAN AMADOR RPT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2062 SUGARBOWL WAY LODI, CA 95242-4752 US
Tel: 209-200-6796 Fax: --
Tel: 209-200-6796 Fax: --
Contact information for business:
2062 SUGARBOWL WAY LODI, CA 95242-4752 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1609358449
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | CA | 28136 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
