Individual
MR. JERRY EDWARD CAVENDER II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
901 W FRANCIS ST, ONTARIO, CA 91762-6214
(909) 988-7411
(909) 467-5238
Mailing address
PO BOX 2257, GLENDORA, CA 91740-2257
(626) 825-8144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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