Individual
MR. JOSE RUEL PRADO NANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 SANTA ALICIA AVE APT 14107, CHULA VISTA, CA 91913-1863
(619) 781-8987
Mailing address
1390 SANTA ALICIA AVE APT 14107, CHULA VISTA, CA 91913-1863
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
77307
CA
183700000X
Pharmacy Technician
Primary
TCH 77307
CA
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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