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Mario Covarrubias
NPI 1427643832 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1513 Roselawn Ave
Stockton, CA 95204 - Phone
- (209) 623-9598
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California