Individual
EDUARDO PANUCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4850 TAMARRON CT, SAN BERNARDINO, CA 92407-5012
(909) 708-7071
Mailing address
4850 TAMARRON CT, SAN BERNARDINO, CA 92407-5012
(909) 708-7071
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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