Individual
VIOREL GHEORGHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
4659 SHADE TREE WAY, ANTELOPE, CA 95843-5836
(909) 516-7711
Mailing address
4659 SHADE TREE WAY, ANTELOPE, CA 95843-5836
(909) 516-7711
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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