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Individual

MR. JOE CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
26883 AUBRIETA ST, MURRIETA, CA 92562-8006
(951) 200-3693
(951) 200-3692
Mailing address
29910 MURRIETA HOT SPRINGS RD, G234, MURRIETA, CA 92563-3814
(951) 200-3693
(951) 200-3962

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN166026
CA

Other

Enumeration date
07/28/2008
Last updated
04/20/2011
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