Individual
MR. JOSE ANGEL ALCANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 SWEETWATER RD STE D, NATIONAL CITY, CA 91950-7655
(619) 474-2233
Mailing address
1615 SWEETWATER RD STE D, NATIONAL CITY, CA 91950-7655
(619) 474-2233
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
363L00000X
Nurse Practitioner
95003735
CA
Other
Enumeration date
05/17/2011
Last updated
02/04/2016
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