Individual
MR. JUSTINIANO SUAREZ JAOJOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5406
Mailing address
3914 GRANDVIEW DR, BREA, CA 92823-1014
(714) 528-1268
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
463246
CA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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