Individual
EDWIN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(714) 978-6784
Mailing address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(714) 978-6784
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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