Individual
CHRISTIANA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1362 GLENTHORPE DR, WALNUT, CA 91789-3858
(909) 576-7810
Mailing address
770 MAGNOLIA AVE STE 2A, CORONA, CA 92879-3122
(951) 736-8144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57162
CA
Other
Enumeration date
10/30/2019
Last updated
12/16/2019
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