JOSE L BAZAN

MODESTO, CA
NPI1437784469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95014164)
Enumeration Date2020-03-10
Last Update Date2020-03-10
Business Address
JOSE L BAZAN FNP-C
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
Mailing Address
JOSE L BAZAN FNP-C
5418 FLINTRIDGE CT
RIVERBANK, CA 95367-9431
Phone number: 209-450-8522
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