Individual
MR. DONOVAN GARCIA TEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1261 LAKEVIEW AVE., SUITE 'A', ANAHEIM HILLS, CA 92807
(714) 779-8544
Mailing address
1261 LAKEVIEW AVE., SUITE 'A', ANAHEIM HILLS, CA 92807
(714) 779-8544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
73965
CA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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