Individual
MR. JOSE JOVELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
H100 SANTA MARGARITA RD, CAMP PENDLETON, CA 92055-5191
(760) 725-1495
Mailing address
36860 RED OAK ST, WINCHESTER, CA 92596-9192
(951) 719-4393
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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