JOHN JAYSON LOPEZ BONGGA

COLTON, CA
NPI1710431960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95000665)
Enumeration Date2016-08-04
Last Update Date2021-12-06
Business Address
JOHN JAYSON LOPEZ BONGGA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-2440
Mailing Address
JOHN JAYSON LOPEZ BONGGA
11755 MALAGA DR UNIT 1165
RANCHO CUCAMONGA, CA 91730-7224
Phone number: 909-851-3067
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