Individual
JOSE JERRY SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28632 ROADSIDE DR STE 170, AGOURA HILLS, CA 91301-6083
(888) 561-0868
Mailing address
28632 ROADSIDE DR STE 170, AGOURA HILLS, CA 91301-6083
(888) 561-0868
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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