Individual
NELSON MALDONADO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 CIVIC CENTER PLZ, LOMPOC, CA 93436-6916
(805) 737-7800
(805) 737-7811
Mailing address
115 CIVIC CENTER PLZ, LOMPOC, CA 93436-6916
(805) 737-7800
(805) 737-7811
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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