Individual
JESSICA JENNIFER SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON STREET, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-8131
Mailing address
11234 ANDERSON ST., HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-8131
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A113894
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2009
Last updated
07/20/2023
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