Maitilasso, Jordan Mauro

Maitilasso, Jordan Mauro is an individual health care provider with primary practice located at 10159 Mission Gorge Rd Ste C , Santee CA 92071-3857. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Maitilasso, Jordan Mauro can be contacted via phone (619) 579-0947.

Contact Information

Primary practice address
10159 Mission Gorge Rd Ste C Santee CA 92071-3857
Phone: (619) 579-0947
Fax: (619) 588-6282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California

Profile Details

NPI number 1366914319
LBN Legal business name Maitilasso, Jordan Mauro
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2018
Last updated Aug 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers