Richard Macias

NPI #1487198818 in Indio, California

Provider Information

NPI Number: 1487198818
Entity Type: Individual
Name: Richard Macias
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Dec 3, 2016
Last Updated: Dec 3, 2016

Practice Location

Address: 47915 OASIS ST
City: Indio
State: California
ZIP Code: 92201-6950
Phone: (760) 863-8638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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