SEAN JERAL CHILDRESS

CHINO, CA
NPI1356415897
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist Prosthetics Case Management
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
SEAN JERAL CHILDRESS
14880 CENTRAL AVE
CHINO, CA 91710-9509
Phone number: 909-606-3237
Mailing Address
SEAN JERAL CHILDRESS
14880 CENTRAL AVE
CHINO, CA 91710-9509
Phone number: 909-606-3237
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