JESUS LOMIBAO LICUANAN

BUENA PARK, CA
NPI1306897780
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy174400000X Specialist
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
JESUS LOMIBAO LICUANAN M.D.
6131 ORANGETHORPE AVE SUITE 215
BUENA PARK, CA 90620-1315
Phone number: 714-521-1700
Mailing Address
JESUS LOMIBAO LICUANAN M.D.
6131 ORANGETHORPE AVE SUITE 215
BUENA PARK, CA 90620-1315
Phone number: 714-521-1700