Individual
MANUEL HUMBERTO HARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 260-5863
Mailing address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 260-5863
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20184
CA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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