Individual
MR. JOSE NAVA DE JESUS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4519
(714) 834-2869
Mailing address
65 PASEO PRIMERO, RANCHO SANTA MARGARITA, CA 92688-3367
(949) 709-2217
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230915
CA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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