Individual
JOSE E AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9155 CONNIE AVE, STOCKTON, CA 95209-1803
(209) 957-9678
(209) 956-9680
Mailing address
9155 CONNIE AVE, STOCKTON, CA 95209-1803
(209) 957-9678
(209) 956-9680
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
969827
CA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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