JORGE GONZALO JARA

CAMP PENDLETON, CA
NPI1215314042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110005612)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2015-04-30
Last Update Date2022-08-23
Business Address
JORGE GONZALO JARA P.A.
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Phone number: 760-719-3308
Mailing Address
JORGE GONZALO JARA P.A.
PO BOX 555191
CAMP PENDLETON, CA 92055-5191
Phone number: 760-719-3308