Individual
MR. IVAN GONZALO MARIN ARGUEDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10583 REDWOOD AVE, HESPERIA, CA 92345-2430
(909) 244-4741
Mailing address
10583 REDWOOD AVE, HESPERIA, CA 92345-2430
(909) 244-4741
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D5748643
CA
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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