Individual
IVAN M PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 446-2771
Mailing address
2906 SECRETARIAT DR, ATWATER, CA 95301-2534
(209) 761-2125
(209) 394-1326
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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