Individual
JEAN JHANPAT SOMBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
447 DRAKE AVE, UPLAND, CA 91786-4223
(909) 628-5379
(909) 628-5379
Mailing address
11166 KIMBERLY AVE, MONTCLAIR, CA 91763-6330
(909) 628-5379
(909) 628-5379
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
98357
CA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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