Individual
MR. GERARDO M DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(714) 647-4170
Mailing address
17989 VIA FRONTERA, CHINO HILLS, CA 91709-3927
(760) 668-8458
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP8908
CA
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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