Individual
JARED WILLHIDE-JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14677 MERILL AVE., FONTANA, CA 92335
(951) 643-2340
Mailing address
1209 BEGONIA CT, REDLANDS, CA 92374-5404
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032916
CA
Other
Enumeration date
01/16/2019
Last updated
01/22/2025
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