Individual
MR. RAYMOND RUDOLPH RENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.C.O.
Contact information
Practice address
2039 FOREST AVE STE 206, SAN JOSE, CA 95128-4815
(408) 297-4850
(408) 297-0676
Mailing address
2039 FOREST AVE STE 206, SAN JOSE, CA 95128-4815
(408) 297-4850
(408) 297-0676
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DXX00008F
—
CA
Enumeration date
08/30/2006
Last updated
03/05/2008
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