MR. Eddie Sidney Mack SR.
NPI #1184059420 in Pico Rivera, California
Provider Information
- NPI Number
- 1184059420
- Entity Type
- Individual
- Name
- MR. Eddie Sidney Mack SR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Sep 5, 2013
- Last Updated
- Sep 5, 2013
Practice Location
- Address
- 9101 WHITTIER BLVD
- City
- Pico Rivera
- State
- California
- ZIP Code
- 90660-2405
- Phone
- (562) 801-4626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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