MISAEL G. VICTORIA MICHACA

PERRIS, CA
NPI1801578281
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-08-03
Last Update Date2023-10-31
Business Address
MISAEL G. VICTORIA MICHACA
85 RAMONA EXPY
PERRIS, CA 92571-7014
Phone number: 951-349-4195
Mailing Address
MISAEL G. VICTORIA MICHACA
21550 BOX SPRINGS RD APT 1080
MORENO VALLEY, CA 92557-6715
Phone number: 951-502-4664