Individual
RENDEL CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
US NAVY IDC
Contact information
Practice address
34101 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134-5291
(619) 532-7968
Mailing address
8746 ILDICA ST, UNIT 7, SPRING VALLEY, CA 91977
(305) 432-1348
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
US NAVY IDC
CA
247200000X
Other Technician
Primary
US NAVY IDC
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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