Myesha M Mack
Rehabilitation Practitioner
1085 W Victoria St
Compton
, California 90220-5804
Myesha M Mack
Rehabilitation Practitioner
1085 W Victoria St
Compton
, California 90220-5804
(310) 868-5379
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Myesha M Mack
- 1085 W Victoria St
- Compton, CA
- Zip : 90220-5804
- Phone : (310) 868-5379
Second Address
- Myesha M Mack
- 1085 W Victoria St
- Compton, CA
- Zip : 90220-5804
- Phone : (310) 868-5379
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033422472 |
|---|---|
| Provider Name | Myesha M Mack |
| First Address | Compton, CA 90220-5804 |
| Second Address | Compton, CA 90220-5804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2010 |
| Last Update Date | 14/07/2010 |
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.