Individual
JUAN CARLOS PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 KELLOGG AVE, CORONA, CA 92879-3111
(951) 898-7480
Mailing address
2055 KELLOGG AVE, CORONA, CA 92879-3111
(951) 898-7480
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
26129
CA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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