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DR. MIGUEL AMEZCUA DO

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1740773787

Individual Registrant:
DR. MIGUEL  AMEZCUA DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
26520 CACTUS AVE  MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-4753  Fax: --

Contact information for business:
26520 CACTUS AVE  MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-4753  Fax: --

Registration Information:
NPI: 1740773787
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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