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Mitchell Caudillo

Case Manager/Care Coordinator in Fresno, CA. Individual provider (NPI-1).

NPI number1982198560
StatusActive
Last updated in NPPESJun 18, 2018

Details

NPI
1982198560
Entity type
Individual (NPI-1)
Name
Mitchell Caudillo
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2018
Last updated
Jun 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3636 N 1st St Ste 162
Fresno, CA 93726-6869

Phone 559-476-2166

Mailing address

3636 N 1st St Ste 162
Fresno, CA 93726-6869

Phone 559-476-2166

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