Josue Esperante, MA
Student in an Organized Health Care Education/Training Program in Riverside, CA. Individual provider (NPI-1).
NPI number1164061875
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1164061875
- Entity type
- Individual (NPI-1)
- Name
- Josue Esperante
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2019
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Josue Domenech (Other Name)
Practice location
5051 Canyon Crest Dr Ste 204Riverside, CA 92507-6035
Phone 951-682-1488
Mailing address
5051 Canyon Crest Dr Ste 204Riverside, CA 92507-6035
Phone 951-682-1488
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