Individual
JOSE DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
061195
CA
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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