Individual
MR. FIDELINO JARDINIANO AMARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
41880 KALMIA ST, SUITE 100, MURRIETA, CA 92562-8831
(951) 696-7587
(951) 461-6973
Mailing address
41880 KALMIA ST, SUITE 100, MURRIETA, CA 92562-8831
(951) 696-7587
(951) 461-6973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
467220
CA
363A00000X
Physician Assistant
Primary
PA13145
CA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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