Individual
EULOGIO ACLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36393 NEWARK BLVD, NEWARK, CA 94560-2501
(510) 793-9079
Mailing address
36393 NEWARK BLVD, NEWARK, CA 94560-2501
(510) 793-9079
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
100975
CA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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