Individual
EDMAR ALBERTO DUENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2318 FRANZEN AVE APT A, SANTA ANA, CA 92705-1756
(714) 317-0893
Mailing address
2318 FRANZEN AVE APT A, SANTA ANA, CA 92705-1756
(714) 317-0893
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
NA
CA
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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