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Individual

ISRAEL PALAFOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15190 SEGOVIA CT, SAN DIEGO, CA 92129-1219
(661) 378-2789
Mailing address
259 ALVARADO ST APT E, CHULA VISTA, CA 91910-4625
(619) 305-8816

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E2968350
DRIVER LICENSE
CA
Enumeration date
09/16/2022
Last updated
09/16/2022
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