Individual
DR. EDGARDO CARLOS SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3838 JACKSON ST STE A, RIVERSIDE, CA 92503-3917
(951) 637-7546
(951) 637-2393
Mailing address
36074 MUSTANG SPIRIT LN, WILDOMAR, CA 92595-7603
(951) 264-3668
(951) 637-2393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
29391
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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