NPI 1386464246

Mark Jorell Larracas

Practitioner Driver Litchfield Park, AZ

Practice location

Address: 14704 W Pasadena Ave, Litchfield Park, AZ 85340-2823
Phone: (201) 982-5121

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1386464246
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2024
Record last updated: 15 Oct 2024

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.