MARCOS ELISEO CHACON VILLANUEVA

WEST COVINA, CA
NPI1194504498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
(Licence: CA  02271594)
Enumeration Date2023-09-26
Last Update Date2024-11-17
Business Address
MARCOS ELISEO CHACON VILLANUEVA
851 S SUNSET AVE APT T220
WEST COVINA, CA 91790-5510
Phone number: 323-712-1840
Mailing Address
MARCOS ELISEO CHACON VILLANUEVA
200 E ROWLAND ST # 237
COVINA, CA 91723-3146
Phone number: 323-712-1840