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Individual

JESUS PACIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
7576 STERLING AVE STE C-D, SAN BERNARDINO, CA 92410-4273
(909) 381-8983
Mailing address
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3839
(909) 881-7320

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95022921
CA
363L00000X
Nurse Practitioner
Primary
95022921
CA

Other

Enumeration date
11/09/2022
Last updated
11/15/2022
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