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Jordan Mauro Maitilasso
Student in an Organized Health Care Education/Training Program in Santee, California
NPI 1366914319

Jordan Mauro Maitilasso is a Student in an Organized Health Care Education/Training Program based in El Cajon, CA. Jordan Mauro Maitilasso practices in Santee, CA. The NPI Number for Jordan Mauro Maitilasso is 1366914319 and holds a License No. (California).

The current practice location address for Jordan Mauro Maitilasso is 10159 Mission Gorge Rd Ste C, Santee, CA and can be reached out via phone at 619-579-0947 and via fax at 619-588-6282.

Location: 10159 Mission Gorge Rd Ste C, Santee, CA, 92020-5184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366914319
Provider Name
Jordan Mauro Maitilasso
Credential
Provider Entity Type
Individual
Gender
Male
Address
10159 Mission Gorge Rd Ste C, Santee, CA, 92020-5184
Phone Number
619-579-0947
Fax Number
619-588-6282
Provider Enumeration Date
12/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10159 Mission Gorge Rd Ste C
City
Santee
State
California
Zip
92071-3857
Phone Number
619-579-0947
Fax Number
619-588-6282
person
Provider Business Mailing Address Details
Address
10159 Mission Gorge Rd Ste C
City
Santee
State
California
Zip
92071-3857
Phone Number
619-579-0947
Fax Number
619-588-6282
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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