Individual
JOSE CEDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7900 S J STOCK RD, SELLS, AZ 85634
(520) 383-7200
Mailing address
7900 S J STOCK RD, SELLS, AZ 85634
(520) 383-7200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043612
AZ
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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