Individual
MR. ASUQUO EDET ASUQUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1200 E HIGHLAND AVE, SUITE F, SAN BERNARDINO, CA 92404-4646
(909) 881-1100
(909) 881-1100
Mailing address
1200 E HIGHLAND AVE, SUITE F, SAN BERNARDINO, CA 92404-4646
(909) 881-1100
(909) 881-1100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
11/09/2010
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