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Individual

DR. JAY KENNETH PALOMA BUENAFLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
608 G ST, I-A, BRAWLEY, CA 92227-2568
(760) 351-2127
(760) 351-2163
Mailing address
1091 MESQUITE AVE, BRAWLEY, CA 92227-3487
(760) 344-2445

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A82945
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A829450
CA
Enumeration date
11/01/2006
Last updated
03/17/2008
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