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1174219091
YAX TREJO
SAN DIEGO, CA
NPI
1174219091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-04-13
Last Update Date
2024-06-10
Business Address
YAX TREJO
7986 DAGGET ST
SAN DIEGO, CA 92111-2321
Phone number: 858-300-0460
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Mailing Address
YAX TREJO
7986 DAGGET ST
SAN DIEGO, CA 92111-2321
Phone number: 858-300-0460
Copy
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