MR. Antonio Dante Marino, PA-C
NPI #1053953760 in Vancouver, Washington
Provider Information
- NPI Number
- 1053953760
- Entity Type
- Individual
- Name
- MR. Antonio Dante Marino, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 14, 2019
- Last Updated
- Oct 15, 2019
Practice Location
- Address
- 707 W 13TH ST
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98660-2809
- Phone
- (360) 397-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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