Mr. Jonathan Jenesis Cavazos
Mr. Jonathan Jenesis Cavazos is a Rehabilitation Practitioner in Corona, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
2275 S Main St Ste 201Corona, CA 92882-5303
Phone: (951) 279-1333
Fax: (951) 279-8333
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1174835235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2010 |
| Last updated in NPPES | June 3, 2013 |
| Mailing address | 2944 S Peach Tree Pl, Ontario, CA 91761-7543 |
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