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
- State
- California
- ZIP Code
- 91766-0980
- Phone
- (909) 282-8933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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