Organization
JOHN LIQUETE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY A LIQUETE MD (OWNER)
(951) 697-1150
Entity
Organization
Contact information
Practice address
14114 BUSINESS CENTER DR, SUITE D, MORENO VALLEY, CA 92553-9113
(951) 697-1150
Mailing address
14114 BUSINESS CENTER DR, SUITE D, MORENO VALLEY, CA 92553-9113
(951) 697-1150
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A49014
CA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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