Organization
AEGIS MEDICAL SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ILENE LONG B.A. (COUNSELOR)
(909) 986-4550
Entity
Organization
Contact information
Practice address
125 W F ST, ONTARIO, CA 91762-3262
(909) 986-4506
(909) 986-4506
Mailing address
125 W F ST, ONTARIO, CA 91762-3262
(909) 986-4506
(909) 986-4506
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
36-04
CA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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