Individual
MR. EDWIN SOLIVEN RETUYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
27300 IRIS AVENUE, MORENEO VALLEY, CA 92555
(951) 243-2042
Mailing address
7661 HITCHING POST CT, RANCHO CUCAMONGA, CA 91739-8840
(909) 803-0081
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
625403
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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