Individual
JUKES P NAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11175 CAMPUS STREET, SUITE 21111, LOMA LINDA, CA 92350
(909) 558-4286
Mailing address
11175 CAMPUS STREET, SUITE 21111, LOMA LINDA, CA 92350
(909) 558-4286
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036129327
IL
208600000X
Surgery Physician
Primary
A97112
CA
Other
Enumeration date
05/14/2007
Last updated
03/29/2017
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