Individual
MANUEL BUENROSTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 W 6TH ST STE 201, CORONA, CA 92882-6516
(951) 372-0556
Mailing address
PO BOX 76002, ANAHEIM, CA 92809-7602
(951) 372-0556
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
N5465100
CA
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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