ANTHONY RAYMOND FIDEL

HAYWARD, CA
NPI1609112077
Former NameANTHONY LECHUGA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  829477)
Enumeration Date2012-12-12
Last Update Date2012-12-12
Business Address
-- ANTHONY RAYMOND FIDEL
25588 MAITLAND DR
HAYWARD, CA 94542-1823
Phone number: 510-921-2532
Mailing Address
-- ANTHONY RAYMOND FIDEL
25588 MAITLAND DR
HAYWARD, CA 94542-1823
Phone number: 510-921-2532