JESUS J CORRAL

LIVINGSTON, CA
NPI1558536003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA18245)
Enumeration Date2008-04-25
Last Update Date2015-01-28
Business Address
-- JESUS J CORRAL PA
1140 MAIN ST
LIVINGSTON, CA 95334-1257
Phone number: 209-394-7913
Mailing Address
-- JESUS J CORRAL PA
1140 MAIN ST
LIVINGSTON, CA 95334-1257
Phone number: 209-394-7913