1275831448

Everything you always wanted to know about DA SILVA S ROBERT but were afraid to ask.

DA SILVA S ROBERT

You can also download the this 1275831448 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name
DA SILVA S ROBERT
Gender:
Male
Enumeration date:
2011-03-11
Last update date:
2011-03-11
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
225400000X Rehabilitation Practitioner none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3232542274
Practice Location Address Telephone Number 3232542274

Addresses

Type Address City State Postal Country
Mailing Address 940 AVENUE 64 PASADENA CA 91105 CA
Practice Location Address 940 AVENUE 64 PASADENA CA 91105 CA

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Individual
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Individual
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Individual
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