Individual
EDILBERTO MINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 S SAN JOAQUIN ST, STOCKTON, CA 95203-3537
(209) 565-9929
Mailing address
4827 WANDERING PINES TRL S, JACKSONVILLE, FL 32258-1572
(904) 294-8068
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95009794
CA
363LP2300X
Primary Care Nurse Practitioner
AG0215089
FL
Other
Enumeration date
03/30/2015
Last updated
08/03/2023
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