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Individual

EFRAIN HEREDIA OJEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
PO BOX 1464, CORONA, CA 92878-1464
(951) 258-0336
Mailing address
PO BOX 1464, CORONA, CA 92878-1464
(951) 258-0336

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
CA
171W00000X
Contractor
CA

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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