JOSE LUIS CONDOR

SACRAMENTO, CA
NPI1053167668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-25
Last Update Date2024-04-25
Business Address
JOSE LUIS CONDOR
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 562-489-6122
Mailing Address
JOSE LUIS CONDOR
3116 2ND AVE APT C
SACRAMENTO, CA 95817-2759
Phone number: 562-489-6122