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Individual

MR. RAYMOND TELLEZ RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20976 BAKER RD, CASTRO VALLEY, CA 94546
(510) 727-1280
Mailing address
20976 BAKER RD, CASTRO VALLEY, CA 94546
(510) 727-1280

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
06/16/2023
Last updated
06/16/2023
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