JESSE TABISULA LAMOG

CHINO, CA
NPI1902387228
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT295254)
Enumeration Date2018-08-24
Last Update Date2021-09-24
Business Address
Dr. JESSE TABISULA LAMOG DPT
14682 CENTRAL AVE
CHINO, CA 91710-9505
Phone number: 951-376-2692
Mailing Address
Dr. JESSE TABISULA LAMOG DPT
3191 MISSION INN AVE STE B
RIVERSIDE, CA 92507-4188
Phone number: 951-376-2692