Individual
MR. JOSE RAMON ALDAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S HALE AVE SPC 54, ESCONDIDO, CA 92029-2177
(760) 739-9259
Mailing address
14802 ROSEMARY DR, FONTANA, CA 92335-6243
(562) 786-0995
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1151262
DRIVER LICENSE
CA
Enumeration date
09/19/2019
Last updated
09/19/2019
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