Individual
JASON MARCAS MCKINNEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4747 JURUPA AVE APT 89, RIVERSIDE, CA 92506-1960
(909) 234-8640
Mailing address
4747 JURUPA AVE APT 89, RIVERSIDE, CA 92506-1960
(909) 234-8640
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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