Individual
JOSE JESUS ZAMUDIO ESCAMILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1930 W VALLEY BLVD, COLTON, CA 92324-1812
(909) 658-3079
Mailing address
1930 W VALLEY BLVD, COLTON, CA 92324-1812
(909) 658-3079
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-578
CA
Other
Enumeration date
11/14/2017
Last updated
06/10/2024
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