Individual
ALBERT ISAIAH MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 CHICAGO AVE STE B, RIVERSIDE, CA 92507-2366
(951) 465-3664
Mailing address
5936 CROWN DR, JURUPA VALLEY, CA 91752-3022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00000
CA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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