Individual
ANDRES MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2026 N IMPERIAL AVE STE C, EL CENTRO, CA 92243-1607
(760) 592-4351
Mailing address
2026 N IMPERIAL AVE STE C, EL CENTRO, CA 92243-1607
(760) 592-4351
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
207502
CA
363LF0000X
Family Nurse Practitioner
Primary
95021143
CA
Other
Enumeration date
06/18/2014
Last updated
07/01/2022
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