person
Mr. Raymond Rudolph Rendon, BCO
Prosthetics Case Management in San Jose, California
NPI 1710097613

Raymond Rudolph Rendon is a Prosthetics Case Management based in San Jose, CA and is specialized in Prosthetics Case Management. Raymond Rudolph Rendon practices in San Jose, CA and has the professional credentials of BCO. The NPI Number for Raymond Rudolph Rendon is 1710097613 and holds a License No. (California).

The current practice location address for Raymond Rudolph Rendon is 2039 Forest Ave Ste 206, San Jose, CA and can be reached out via phone at 408-297-4850 and via fax at 408-297-0676. You can also correspond with Raymond Rudolph Rendon through the mailing address at 2039 FOREST AVE STE 206, SAN JOSE, CA - 95128-4815 (mailing address contact number: 408-297-4850).

Location: 2039 Forest Ave Ste 206, San Jose, CA, 95128-4815
person
Provider Profile Details
NPI Number
1710097613
Provider Name
Raymond Rudolph Rendon
Credential
BCO
Provider Entity Type
Individual
Gender
Male
Address
2039 Forest Ave Ste 206, San Jose, CA, 95128-4815
Phone Number
408-297-4850
Fax Number
408-297-0676
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DXX00008F 05 CA
institution
Provider Business Practice Location Address Details
Address
2039 Forest Ave Ste 206
City
State
Zip
95128-4815
Phone Number
408-297-4850
Fax Number
408-297-0676
person
Provider Business Mailing Address Details
Address
2039 Forest Ave Ste 206
City
State
Zip
95128-4815
Phone Number
408-297-4850
Fax Number
408-297-0676
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
()
Definition
Definition to come...
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