| NPI | 1053693580 |
|---|---|
| Professional Name | JUAN CARLOS CANTU GALAVIZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN673) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18320) |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2024-10-31 |