JACOB LOPEZ

FONTANA, CA
NPI1437724291
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-05-24
Last Update Date2021-11-12
Business Address
JACOB LOPEZ
7774 CHERRY AVE STE A
FONTANA, CA 92336-4014
Phone number: 909-355-1296
Mailing Address
JACOB LOPEZ
7774 CHERRY AVE STE A
FONTANA, CA 92336-4014
Phone number:
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