Eydee Mazenko

NPI #1679964225 in Benicia, California

Provider Information

NPI Number: 1679964225
Entity Type: Individual
Name: Eydee Mazenko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 17, 2015
Last Updated: Feb 17, 2015

Practice Location

Address: 860 SOUTHAMPTON RD
City: Benicia
State: California
ZIP Code: 94510-1907
Phone: (707) 745-6144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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