Individual
JOHN CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1621 WALLINGFORD LANE, FAIRFIELD, CA 94533
(660) 864-6743
Mailing address
PSC 80 BOX 19, APO, AE 09702-0001
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
06/16/2021
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