Individual
CASIMIRO D JOSE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2667 CHERRYBARK LN, CORONA, CA 92881-3531
(951) 415-0502
(951) 432-7542
Mailing address
2667 CHERRYBARK LN, CORONA, CA 92881-3531
(951) 415-0502
(951) 432-7542
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
336408225
CA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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