Individual
ERON LEE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 A ST, HAYWARD, CA 94541-4105
(510) 942-5653
Mailing address
1061 A ST, HAYWARD, CA 94541-4105
(510) 942-5653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
02/24/2021
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