Individual
JHEAM WILDEY RODRIGUEZ CIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 S 2ND AVE, COVINA, CA 91723-3013
(626) 214-1480
(626) 214-1471
Mailing address
535 S 2ND AVE, COVINA, CA 91723-3013
(626) 214-1480
(626) 214-1471
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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