Individual
JUVID CEBALLOS VIRTUDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2289 ROOT ST, FULLERTON, CA 92833-2108
(714) 261-0908
Mailing address
2289 ROOT ST, FULLERTON, CA 92833-2108
(714) 261-0908
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95086357
CA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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