Individual
AIBAR HERBERTO HUATUCO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 BESSIE AVE, SUITE 102, TRACY, CA 95376-3080
(209) 836-1627
(209) 836-5478
Mailing address
1530 BESSIE AVE, SUITE 102, TRACY, CA 95376-3080
(209) 836-1627
(209) 836-5478
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A32630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A326300
—
CA
Enumeration date
08/26/2005
Last updated
07/08/2007
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