Individual
JEFFREY PAUL CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7484 LARSEN BAY ST, EASTVALE, CA 92880-9197
(714) 865-8418
Mailing address
7484 LARSEN BAY ST, EASTVALE, CA 92880-9197
(714) 865-8418
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
650182
CA
Other
Enumeration date
01/01/2013
Last updated
01/01/2013
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