PETER JOHN LICANTO YOUNG

SANTA ANA, CA
NPI1982428959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95370398)
Enumeration Date2024-11-14
Last Update Date2024-11-14
Business Address
PETER JOHN LICANTO YOUNG RN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-834-3101
Mailing Address
PETER JOHN LICANTO YOUNG RN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-834-3101
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