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Individual

JOSE TERAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 E SAN RAFAEL DR SPC 13, PALM SPRINGS, CA 92262-1748
(760) 980-9958
Mailing address
1500 E SAN RAFAEL DR SPC 13, PALM SPRINGS, CA 92262-1748
(760) 980-9958

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A4452455
CA

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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