JEROME M AZEVEDO

MODESTO, CA
NPI1477826105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  751358)
Enumeration Date2012-02-10
Last Update Date2012-02-10
Business Address
-- JEROME M AZEVEDO RN
1441 FLORDIA AVENUE
MODESTO, CA 95350
Phone number: 209-576-3880
Mailing Address
-- JEROME M AZEVEDO RN
1441 FLORDIA AVENUE
MODESTO, CA 95352-1032
Phone number: 209-576-3880