JONATHAN P VAVALA

COLTON, CA
NPI1649708454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  803698)
Enumeration Date2017-05-24
Last Update Date2022-07-21
Business Address
JONATHAN P VAVALA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
Mailing Address
JONATHAN P VAVALA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145