Individual
CORY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
360 E 7TH ST STE D, UPLAND, CA 91786-6701
(909) 219-9909
Mailing address
360 E 7TH ST STE D, UPLAND, CA 91786-6701
(909) 219-9909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57192
—
Other
Enumeration date
09/09/2019
Last updated
04/02/2024
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