Individual
JAMES OBALDO AZORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 RICHLAND AVE STE A, CERES, CA 95307
(209) 300-8800
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95053081
CA
Other
Enumeration date
08/10/2017
Last updated
06/04/2018
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