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Josue Santos
NPI 1659709905 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4001 Highway 104
Ione, CA 95640 - Phone
- (209) 274-4911
- Organisation at this address
- Cdcr
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 1041C0700X
- Licence states on file
- NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-10
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