Individual
VERONICA MONTENEGRO-JAUREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
751 W LEGION RD STE 204, BRAWLEY, CA 92227-7755
(760) 351-3296
(760) 351-3142
Mailing address
2668 HEIL CIRCLE, EL CENTRO, CA 92243
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19686
PHYSICIAN ASSISTANT
CA
Enumeration date
05/12/2008
Last updated
03/17/2022
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