Individual
JEREMY THIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 MAGNOLIA AVE DEPT 1293, RIVERSIDE, CA 92506-1293
(951) 222-8151
Mailing address
4800 MAGNOLIA AVE DEPT 1293, RIVERSIDE, CA 92506-1293
(951) 222-8151
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
95043898
CA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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