SearchCalifornia225100000X

Juan Carlo Fruto

NPI 1326586975 · on the registry since 2017 · sole proprietor

Practice

Address
41024 Sunsprite St
Lake Elsinore, CA 92532
Phone
(951) 575-9768

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California