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Individual

MIGUEL ULISES CUCUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AA/BA.

Contact information

Practice address
341 E CENTER ST, ANAHEIM, CA 92805-3263
(714) 399-1860
Mailing address
1425 W 3RD ST, SANTA ANA, CA 92703-3731
(714) 415-6819

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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