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Individual

MR. JHONNY ENRIQUE NIEVES SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3528 SWEETWATER WAY, LEMON GROVE, CA 91945-2030
(619) 776-2524
Mailing address
3528 SWEETWATER WAY, LEMON GROVE, CA 91945-2030
(619) 776-2524

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
CA

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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