Individual
MR. TOMAS ANDREW ALEBUSA JACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 401-8264
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 401-8264
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
745629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745629
RN LICENSE
CA
Enumeration date
11/02/2016
Last updated
11/02/2016
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