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Mr. Jonathan Jenesis Cavazos
Rehabilitation Practitioner in Corona, California
NPI 1174835235

Jonathan Jenesis Cavazos is a Rehabilitation Practitioner based in Ontario, CA. Jonathan Jenesis Cavazos practices in Corona, CA. The NPI Number for Jonathan Jenesis Cavazos is 1174835235 and holds a License No. (California).

The current practice location address for Jonathan Jenesis Cavazos is 2275 S Main St, Corona, CA and can be reached out via phone at 951-279-1333 and via fax at 951-279-8333.

Location: 2275 S Main St, Corona, CA, 91761-7543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174835235
Provider Name
Jonathan Jenesis Cavazos
Credential
Provider Entity Type
Individual
Gender
Male
Address
2275 S Main St, Corona, CA, 91761-7543
Phone Number
951-279-1333
Fax Number
951-279-8333
Provider Enumeration Date
07/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2275 S Main St
City
Corona
State
California
Zip
92882-5303
Phone Number
951-279-1333
Fax Number
951-279-8333
person
Provider Business Mailing Address Details
Address
2275 S Main St
City
Corona
State
California
Zip
92882-5303
Phone Number
951-279-1333
Fax Number
951-279-8333
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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