Individual
DR. EMMANUEL JEFFREY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, DRPH, MPH
Contact information
Practice address
25024 PROSPECT AVE, APT. C, LOMA LINDA, CA 92354-2916
(747) 888-8078
Mailing address
25024 PROSPECT AVE, APT. C, LOMA LINDA, CA 92354-2916
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
05/11/2014
Last updated
05/11/2014
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