JASON BOMBALES LASALA

GARDENA, CA
NPI1821744178
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95018499)
Enumeration Date2022-02-25
Last Update Date2022-07-19
Business Address
JASON BOMBALES LASALA NP
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number: 310-515-8113
Mailing Address
JASON BOMBALES LASALA NP
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number: 310-515-8113
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