JASON JOSHUA CODILLA

SAN LEANDRO, CA
NPI1053172692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156F00000X Technician/Technologist
Enumeration Date2024-01-22
Last Update Date2024-01-22
Business Address
JASON JOSHUA CODILLA
2500 MERCED ST
SAN LEANDRO, CA 94577-4201
Phone number: 510-454-1000
Mailing Address
JASON JOSHUA CODILLA
4704 NORRIS CANYON RD UNIT 104
SAN RAMON, CA 94583-1411
Phone number: 510-921-1795