JESUS L. LICUANAN, M.D. INC

BUENA PARK, CA
NPI1497913057
Entity TypeOrganization
Authorized ContactJESUS L LICUANAN
President/Owner
714-521-1700
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A42300)
Enumeration Date2008-05-29
Last Update Date2023-03-07
Business Address
JESUS L. LICUANAN, M.D. INC
6131 ORANGETHORPE AVE # 215
BUENA PARK, CA 90620-1315
Phone number: 714-521-1700
Mailing Address
JESUS L. LICUANAN, M.D. INC
6131 ORANGETHORPE AVE # 215
BUENA PARK, CA 90620-1315
Phone number: 714-521-1700
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