Individual
RICHARD N/A JUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8692 9TH ST UNIT 2, RANCHO CUCAMONGA, CA 91730-0820
(626) 450-5180
Mailing address
8692 9TH ST UNIT 2, RANCHO CUCAMONGA, CA 91730-0820
(626) 450-5180
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023577
CA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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