Individual
MR. JEROME FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 620-2521
(909) 620-9793
Mailing address
168 W WALNUT AVE APT D, RIALTO, CA 92376-3412
(909) 620-2521
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
259990
CA
Other
Enumeration date
04/13/2007
Last updated
11/29/2018
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