Individual
REDENTOR PRIJOLES CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1299 S SEASIDE AVE, SAN PEDRO, CA 90731-7359
(310) 732-5265
Mailing address
24 VIA FRONTERA, RANCHO SANTA MARGARITA, CA 92688-3317
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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