Individual
MR. JESUS MANUEL LUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31125 DESERT PALM DR, THOUSAND PALMS, CA 92276-3103
(760) 620-2128
Mailing address
31125 DESERT PALM DR, THOUSAND PALMS, CA 92276-3103
(760) 620-2128
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
A1908799
CA
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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