REDENTOR PRIJOLES CORNEJO

SAN PEDRO, CA
NPI1720329758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2013-03-15
Last Update Date2013-03-15
Business Address
-- REDENTOR PRIJOLES CORNEJO
1299 S SEASIDE AVE
SAN PEDRO, CA 90731-7359
Phone number: 310-732-5265
Mailing Address
-- REDENTOR PRIJOLES CORNEJO
24 VIA FRONTERA
RANCHO SANTA MARGARITA, CA 92688-3317
Phone number: