Individual
RAYMUNDO BARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2855 SEPULVEDA AVE, SAN BERNARDINO, CA 92404-3628
(909) 601-8270
Mailing address
2855 SEPULVEDA AVE, SAN BERNARDINO, CA 92404-3628
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D3814553
CA
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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