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Individual

MR. MIGUEL A CASTUERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4451 HOLT BLVD, MONTCLAIR, CA 91763-4116
(909) 624-3033
(909) 624-8440
Mailing address
4451 HOLT BLVD, MONTCLAIR, CA 91763-4116
(909) 624-3033
(909) 624-8440

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PA13087
CA

Other

Enumeration date
09/20/2007
Last updated
09/20/2007
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