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Individual

JED MARC CALVENTAS ADOLFO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2040 S SANTA CRUZ ST STE 225, ANAHEIM, CA 92805-6821
(949) 378-4525
Mailing address
2040 S SANTA CRUZ ST STE 225, ANAHEIM, CA 92805-6821
(949) 378-4525

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
304700246
CA

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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