Individual provider · Type 1 NPI
Mark Lawrence Motol Sy
Psychiatric/Mental Health Registered Nurse · Pasadena, CA
NPI number
1225507650
Active
Practice location
411 N Carmelo Ave
Pasadena, CA 91107-2500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95085268 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1225507650
Mark Lawrence Motol Sy's National Provider Identifier is 1225507650, issued on Nov 14, 2018. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Pasadena, CA. The record was last updated on Nov 14, 2018.