Individual
JESUS ARMANDO TEJERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1100
Mailing address
14026 STARFLOWER CT, CORONA, CA 92880-9076
(951) 737-7765
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
OT1187
CA
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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