JESSE DE LA O

SANTA CLARITA, CA
NPI1972720597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 17807)
Enumeration Date2007-04-18
Last Update Date2021-11-18
Business Address
JESSE DE LA O PA-C
24035 NEWHALL RANCH ROAD
SANTA CLARITA, CA 91354-6063
Phone number: 661-291-3444
Mailing Address
JESSE DE LA O PA-C
24035 NEWHALL RANCH ROAD
SANTA CLARITA, CA 91354
Phone number: 661-291-3444