Jesse Joseph Licuanan

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NPI Number Detailed Information

Provider Information:

Name:	Jesse Joseph Licuanan
Gender:	M
Provider License Number If Given:	A-87633

NPI Information:

NPI:	1396795514
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/10/2006
Last Update Date:	1/6/2023

Provider Business Mailing Address:

Address:	3650 SOUTH ST STE 403 Lakewood, CA 90712
Phone Number:	5625310377
Fax Number:

Provider Business Practice Location Address:

Address:	3650 SOUTH ST STE 403 Lakewood, CA 90712
Phone Number:	5625310377
Fax Number:

Provider Taxonomy:

Primary:	174400000X
Secondary (if any):	207R00000X
State:	CA

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About Jesse Joseph Licuanan

Jesse Joseph Licuanan ( JESSE JOSEPH LICUANAN ) is An Specialist Physician in Lakewood, CA. The NPI Number for Jesse Joseph Licuanan is 1396795514.

The current location address for Jesse Joseph Licuanan is 3650 SOUTH ST STE 403 Lakewood, CA 90712 and the contact number is 5625310377 and fax number is . The mailing address for Jesse Joseph Licuanan is 3650 SOUTH ST STE 403 Lakewood, CA 90712- 5625310377 (mailing address contact number - 5625310377).

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs:

What is the NPI Number for Jesse Joseph Licuanan ?

Answer: The NPI Number for Jesse Joseph Licuanan is 1396795514

Where is Jesse Joseph Licuanan located?

Answer: Jesse Joseph Licuanan is located at 3650 SOUTH ST STE 403 Lakewood, CA 90712.

What is the specialty for Jesse Joseph Licuanan ?

Answer: The Specialty of Jesse Joseph Licuanan is An Specialist Physician.

Are there any online reviews for Jesse Joseph Licuanan ?

Answer: Not yet!

Are there any other health care providers in Lakewood, CA?

Answer: Yes, there are given below...

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