Individual
MR. JOSE VICTOR NAZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403-8888
(240) 216-3247
Mailing address
628 ED MOYE RD, LA GRANGE, NC 28551-8888
(240) 216-3247
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
11/10/2021
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