Individual
CARON FAUSTINO MARTI CHUA ABALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12900 PARK PLAZA DR, CERRITOS, CA 90703-9329
(562) 246-3533
Mailing address
12900 PARK PLAZA DR, CERRITOS, CA 90703-9329
(562) 246-3533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95138006
CA
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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