Oscar Humberto Mauriciofaguada, PA

NPI #1033715404 in Pomona, California

Provider Information

NPI Number
1033715404
Entity Type
Individual
Name
Oscar Humberto Mauriciofaguada, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Dec 9, 2020
Last Updated
Dec 9, 2020

Practice Location

Address
3643 LEGATO CT
City
Pomona
ZIP Code
91766-0980
Phone
(909) 282-8933

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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