KERY LUO

MANTECA, CA
NPI1174119598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA59226)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-12-19
Last Update Date2022-11-06
Business Address
KERY LUO
1205 E NORTH ST
MANTECA, CA 95336-4932
Phone number: 209-823-3111
Mailing Address
KERY LUO
1205 E NORTH ST
MANTECA, CA 95336-4932
Phone number: 209-823-3111