Individual
JANNELLE JARAMILLA AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1862
(909) 580-1388
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1862
(909) 580-1388
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A15929
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
10/09/2019
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