Organization
A & I HUATUCO, INC.
Active
Other names
Aibar Huatuco, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIBAR HERBERTO HUATUCO MD (PRESIDENT)
(209) 836-1627
Entity
Organization
Contact information
Practice address
1530 BESSIE AVE STE 102, TRACY, CA 95376-3080
(209) 836-1627
(209) 836-5478
Mailing address
1530 BESSIE AVE STE 102, TRACY, CA 95376-3080
(209) 836-1627
(209) 836-5478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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