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Individual

MR. SALVADOR ESCUDERO MOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
21890 COLORADO AVE., SAN JOAQUIN, CA 93660
(559) 693-2462
(559) 693-2462
Mailing address
PO BOX 737, SAN JOAQUIN, CA 93660-0737
(559) 693-2462
(559) 693-2462

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13058
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC03875F
CA
Enumeration date
03/02/2007
Last updated
07/08/2007
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