Individual
JASON JOHN FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
11234 ANDERSON ST STE A504, LOMA LINDA, CA 92350-1716
(909) 558-7811
Mailing address
682 E PALM AVE, REDLANDS, CA 92374-6279
(801) 529-2326
(801) 529-2326
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002584
CA
Other
Enumeration date
04/06/2023
Last updated
03/21/2025
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