Individual
EDUARDO MALVIN BUENO LACUNA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A109359
CA
Other
Enumeration date
01/31/2008
Last updated
10/03/2016
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