EDGAR BURQUEZ

LYNWOOD, CA
NPI1922306042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  PA21504)
Enumeration Date2011-03-14
Last Update Date2011-03-14
Business Address
MR. EDGAR BURQUEZ P.A.
3550 LOS FLORES BLVD APT. 12
LYNWOOD, CA 90262-2619
Phone number: 310-991-9252
Mailing Address
MR. EDGAR BURQUEZ P.A.
3550 LOS FLORES BLVD APT. 12
LYNWOOD, CA 90262-2619
Phone number: 310-991-9252
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