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1326731910
JOSE PENALOZA
TARZANA, CA
NPI
1326731910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: CA 01241949)
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
JOSE PENALOZA
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
JOSE PENALOZA
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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