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Individual

EDSIL BANDUYANG LIWAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3993 CASEMAN AVE, SAN DIEGO, CA 92154-2508
(619) 690-1022
Mailing address
3993 CASEMAN AVE, SAN DIEGO, CA 92154-2508
(619) 690-1022

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
370804527
CA
251E00000X
Home Health Agency
6002863740
CA

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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