Edgar Porfirio Canchola
NPI #1154813251 in Gilroy, California
Provider Information
- NPI Number
- 1154813251
- Entity Type
- Individual
- Name
- Edgar Porfirio Canchola
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 4, 2018
- Last Updated
- Jun 4, 2018
Practice Location
- Address
- 9015 MURRAY AVE STE 100
- City
- Gilroy
- State
- California
- ZIP Code
- 95020-3617
- Phone
- (408) 665-4908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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