Individual
JEREMY WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1676 E 6TH ST, SUITE C, BEAUMONT, CA 92223-5760
(951) 769-0300
(951) 769-2811
Mailing address
1676 E 6TH ST, SUITE C, BEAUMONT, CA 92223-5760
(951) 769-0300
(951) 769-2811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39326
CA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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