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Etinosa Lopez Ebagua
Surgical Physician Assistant in Santa Maria, California
NPI 1700655701

Etinosa Lopez Ebagua is a Surgical Physician Assistant based in Santa Maria, CA and is specialized in Surgical. Etinosa Lopez Ebagua practices in Santa Maria, CA. The NPI Number for Etinosa Lopez Ebagua is 1700655701 and holds a License No. (California).

The current practice location address for Etinosa Lopez Ebagua is 1075 W Betteravia Rd, Santa Maria, CA and can be reached out via phone at 805-621-7651.

Location: 1075 W Betteravia Rd, Santa Maria, CA, 93455-1550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700655701
Provider Name
Etinosa Lopez Ebagua
Credential
Provider Entity Type
Individual
Gender
Male
Address
1075 W Betteravia Rd, Santa Maria, CA, 93455-1550
Phone Number
805-621-7651
Fax Number
Provider Enumeration Date
01/01/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1075 W Betteravia Rd
City
Santa Maria
State
California
Zip
93455
Phone Number
805-621-7651
Fax Number
person
Provider Business Mailing Address Details
Address
1075 W Betteravia Rd
City
Santa Maria
State
California
Zip
93455
Phone Number
805-621-7651
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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