Individual
LUIS JAYSON MENJIVAR CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7265 MONTEREY ST, GILROY, CA 95020-6921
(408) 657-3431
Mailing address
7265 MONTEREY ST, GILROY, CA 95020-6921
(408) 657-3431
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/12/2017
Last updated
11/12/2017
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