JONATHAN JENESIS CAVAZOS

CORONA, CA
NPI1174835235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-07-06
Last Update Date2013-06-03
Business Address
MR. JONATHAN JENESIS CAVAZOS
2275 S MAIN ST STE. 201
CORONA, CA 92882-5303
Phone number: 951-279-1333
Mailing Address
MR. JONATHAN JENESIS CAVAZOS
2944 S PEACH TREE PL
ONTARIO, CA 91761-7543
Phone number: 760-964-2699
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