Individual
JOSE YONI CALDERON REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 BREEDWELL RD, CROSSVILLE, AL 35962-5552
(256) 202-7854
Mailing address
PO BOX 2547, ALBERTVILLE, AL 35950-0042
(256) 202-7854
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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