JAN MICHAEL DUCUSIN LOPEZ

SANTA ANA, CA
NPI1508461294
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95124236)
Enumeration Date2020-12-01
Last Update Date2020-12-01
Business Address
-- JAN MICHAEL DUCUSIN LOPEZ
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-935-6804
Mailing Address
-- JAN MICHAEL DUCUSIN LOPEZ
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: