Jonathan Renderos
Adult Companion in San Dimas, CA. Individual provider (NPI-1).
NPI number1508282575
StatusActive
Last updated in NPPESMar 13, 2014
Details
- NPI
- 1508282575
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Renderos
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2014
- Last updated
- Mar 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
442 W Bonita Ave Ste ESan Dimas, CA 91773-2575
Phone 800-861-7996
Mailing address
442 W Bonita Ave Ste ESan Dimas, CA 91773-2575
Phone 800-861-7996
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