Individual
MARIO ESQUIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
1530 W 6TH ST, SUITE 109, CORONA, CA 92882-2742
(951) 279-2171
(951) 279-4514
Mailing address
1530 W 6TH ST, SUITE 109, CORONA, CA 92882-2742
(951) 279-2171
(951) 279-4514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA51223
CA
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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