| NPI | 1952728750 |
|---|---|
| Former Legal Business Name | THREE JAY'S ILLUSIONS INC |
| Entity Type | Organization |
| Authorized Contact | JANET STEARS President 909-338-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 174400000X Specialist | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |