OSCAR HUMBERTO MAURICIOFAGUADA

POMONA, CA
NPI1033715404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
OSCAR HUMBERTO MAURICIOFAGUADA PA
3643 LEGATO CT
POMONA, CA 91766-0980
Phone number: 909-282-8933
Mailing Address
OSCAR HUMBERTO MAURICIOFAGUADA PA
3643 LEGATO CT
POMONA, CA 91766-0980
Phone number: 909-282-8933