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HORTENSIA MALDONADO
Health Service >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1811421100
Individual Registrant: HORTENSIA MALDONADO
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2275 F ST STE 1-2 LIVINGSTON, CA 95334-1778 US
Tel: 209-628-8202 Fax: --
Tel: 209-628-8202 Fax: --
Contact information for business:
1187 MIRROR LAKE DR MERCED, CA 95340-0672 US
Tel: 209-628-8202 Fax: --
Tel: 209-628-8202 Fax: --
Registration Information:
NPI: 1811421100
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QH0100X | Ambulatory Health Care Facilities Clinic/Center Health Service | CA |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
