Individual
MR. ANDREW EUSEBIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2644 SYCAMORE DR, LA VERNE, CA 91750-3753
(909) 789-9659
Mailing address
2644 SYCAMORE DR, LA VERNE, CA 91750-3753
(909) 789-9659
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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