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Marian Custodio
NPI 1669860011 · on the registry since 2015 · sole proprietor
Practice
- Address
- 720 Lacrosse Pl
Escondido, CA 92025 - Phone
- (619) 888-1832
- Fax
- (619) 231-7040
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-07
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