Organization
INLAND EMPIRE WOUND CARE & INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. LIQUETE M.D. (MEDICAL DIRECTOR)
(951) 697-1150
Entity
Organization
Contact information
Practice address
14114 BUSINESS CENTER DR, SUITE D, MORENO VALLEY, CA 92553-9113
(951) 697-1150
(951) 697-1189
Mailing address
14114 BUSINESS CENTER DR, SUITE D, MORENO VALLEY, CA 92553-9113
(951) 697-1150
(951) 697-1189
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
A49014
CA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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