Individual
ANTHONY BUZILA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 E 17TH ST, SANTA ANA, CA 92705-8529
(888) 671-9392
Mailing address
1615 E 17TH ST, SANTA ANA, CA 92705-8529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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