JOSE DESTAJO

SYLMAR, CA
NPI1528452778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  745368)
Enumeration Date2015-03-25
Last Update Date2022-11-01
Business Address
Mr. JOSE DESTAJO RN
14238 SARANAC LN
SYLMAR, CA 91342-1435
Phone number: 818-485-0888
Mailing Address
Mr. JOSE DESTAJO RN
9938 SWINTON AVE
NORTH HILLS, CA 91343-1328
Phone number: 818-634-1077
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