Mr. Marcus Shane Caviness
Mr. Marcus Shane Caviness is a Rehabilitation Practitioner in Covina, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1126 N Grand Ave #DCovina, CA 91724-1551
Phone: (626) 967-1667
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1922135235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 15333 Garfield Dr, 1126 N. Grand Ave., Fontana, CA 92336-4015 |
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Lorenzo Giovanni Debellis, BSW
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Dilek Ozlem Ekerman
1126 N Grand Ave, Covina, CA 91724-1551 · (626) 967-1667
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Elsa Elizalde, BA
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