Provider Demographics
NPI:1023302395
Name:ESQUETINI, JOSE ROBERTO (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ROBERTO
Last Name:ESQUETINI
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:13777 AIR EXPRESSWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92394-0510
Mailing Address - Country:US
Mailing Address - Phone:760-530-5000
Mailing Address - Fax:760-530-5177
Practice Address - Street 1:13777 AIR EXPRESSWAY BLVD
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92394-0510
Practice Address - Country:US
Practice Address - Phone:760-530-5000
Practice Address - Fax:760-530-5177
Is Sole Proprietor?:No
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical