Individual
EDEIBI ARROYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 VICTORIA ST APT B, COSTA MESA, CA 92627-3967
(949) 375-9269
Mailing address
1100 VICTORIA ST APT B, COSTA MESA, CA 92627-3967
(949) 375-9269
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D2734229
CA
347C00000X
Private Vehicle
D2734229
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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