NPI 1235837857
Maximino Jamisola Decorion
Practice location
- Address
- 517 S a St, Madera, CA 93638-3806
- Phone
- (559) 673-9228
- Mailing address
- 444 W Trenton Ave, Clovis, CA 93619-0409
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1235837857
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Feb 2023
- Record last updated
- 22 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.