Individual
MR. EDWARD FREDERICK CASAREO OBMINA JOSUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1370 S STATE ST, SAN JACINTO, CA 92583-4933
(951) 791-3596
(951) 791-3357
Mailing address
1370 S STATE ST, SAN JACINTO, CA 92583-4933
(951) 791-3596
(951) 791-3357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
512176
CA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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