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Amado Marayag Retuya JR.
Driver in Hemet, California
NPI 1477229482

Amado Marayag Retuya JR. is a Driver based in Hemet, CA. Amado Marayag Retuya JR. practices in Hemet, CA. The NPI Number for Amado Marayag Retuya JR. is 1477229482 and holds a License No. (California).

The current practice location address for Amado Marayag Retuya JR. is 4605 Thornbush Dr, Hemet, CA and can be reached out via phone at 951-391-3869.

Location: 4605 Thornbush Dr, Hemet, CA, 92545-8093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477229482
Provider Name
Amado Marayag Retuya JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4605 Thornbush Dr, Hemet, CA, 92545-8093
Phone Number
951-391-3869
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-1565563 05 CA
institution
Provider Business Practice Location Address Details
Address
4605 Thornbush Dr
City
Hemet
State
California
Zip
92545-8093
Phone Number
951-391-3869
Fax Number
person
Provider Business Mailing Address Details
Address
4605 Thornbush Dr
City
Hemet
State
California
Zip
92545-8093
Phone Number
951-391-3869
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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