Individual
ADAM MACIEL JESUS MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 RAFT LN, OXNARD, CA 93035-1769
(805) 201-7976
Mailing address
2600 RAFT LN, OXNARD, CA 93035-1769
(805) 201-7976
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093301848
—
CA
Enumeration date
01/05/2023
Last updated
01/05/2023
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