ETINOSA LOPEZ EBAGUA

SANTA MARIA, CA
NPI1700655701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2024-01-01
Last Update Date2024-01-01
Business Address
ETINOSA LOPEZ EBAGUA
1075 W BETTERAVIA RD
SANTA MARIA, CA 93455
Phone number: 805-621-7651
Mailing Address
ETINOSA LOPEZ EBAGUA
2369 PIZZARO DR
SANTA MARIA, CA 93455-1550
Phone number: 818-350-9140
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