JOSE MANUEL CELEDON

NAMPA, ID
NPI1326520719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: ID  59029)
Enumeration Date2018-08-31
Last Update Date2022-07-18
Business Address
JOSE MANUEL CELEDON NP
508 E FLORIDA AVE
NAMPA, ID 83686-5823
Phone number: 208-463-0118
Mailing Address
JOSE MANUEL CELEDON NP
2226 E SHADY GLADE DR
MERIDIAN, ID 83642-8245
Phone number: 208-989-6483
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