Individual
EDMAR JACK AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 580-1800
Mailing address
7413 SAINTSBURY PL, RANCHO CUCAMONGA, CA 91739-8563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95434095
CA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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