J. DEXTER R TANJUAKIO

COLTON, CA
NPI1730362229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA19521)
Enumeration Date2007-12-07
Last Update Date2021-11-18
Business Address
Mr. J. DEXTER R TANJUAKIO P.A.
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-702-8886
Mailing Address
Mr. J. DEXTER R TANJUAKIO P.A.
PO BOX 142
UPLAND, CA 91785-0142
Phone number: 909-702-8886
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