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JAMES OBALDO AZORES

Psychiatric/Mental Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1588189575

Individual Registrant:
 JAMES OBALDO AZORES 
Gender: M
Sole Proprietor

Location and contact information for practice:
1904 RICHLAND AVE STE A  CERES, CA 95307 US
Tel: 209-300-8800  Fax: --

Contact information for business:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-300-8800  Fax: --

Registration Information:
NPI: 1588189575
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WP0808XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health
CA95053081

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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