JAGANNATH SAM NAYAK

COLTON, CA
NPI1548764863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A166879)
Enumeration Date2018-03-21
Last Update Date2023-10-17
Business Address
Dr. JAGANNATH SAM NAYAK
400 N PEPPER AVE
COLTON, CA 92324-1819
Phone number: 909-580-2186
Mailing Address
Dr. JAGANNATH SAM NAYAK
400 N PEPPER AVE
COLTON, CA 92324-1819
Phone number: 909-580-2186