Albert Anthony Mezzanares JR.
Orthotic Fitter
1355 Bessie Ave
Tracy
, California 95376-3415
Albert Anthony Mezzanares JR.
Orthotic Fitter
1355 Bessie Ave
Tracy
, California 95376-3415
(209) 834-8700
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Albert Anthony Mezzanares JR.
- 1355 Bessie Ave
- Tracy, CA
- Zip : 95376-3415
- Fax : (209) 834-8700
- Phone : (209) 834-8600
Second Address
- Albert Anthony Mezzanares JR.
- 1355 Bessie Ave
- Tracy, CA
- Zip : 95376-3415
- Fax : (209) 834-8700
- Phone : (209) 834-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1609409275 |
|---|---|
| Provider Name | Albert Anthony Mezzanares JR. |
| First Address | Tracy, CA 95376-3415 |
| Second Address | Tracy, CA 95376-3415 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2020 |
| Last Update Date | 21/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.