Individual provider · Type 1 NPI
Jose E. Azevedo
Home Modifications Contractor · Stockton, CA
NPI number
1669802203
Active
Practice location
9155 Connie Ave
Stockton, CA 95209-1803
Fax (209) 956-9680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | 969827 (CA) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1669802203
Jose E. Azevedo's National Provider Identifier is 1669802203, issued on Nov 18, 2013. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Stockton, CA. The record was last updated on Nov 18, 2013.