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Jesse Maldonado
NPI 1417494709 · on the registry since 2017 · sole proprietor
Practice
- Address
- 11025 Ringwood Ave
Santa Fe Springs, CA 90670 - Phone
- (562) 712-9878
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-24
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