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Individual

JESUSA AQUINO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1574 W BASE LINE ST, SUITE 107, SAN BERNARDINO, CA 92411-1736
(909) 881-7320
(909) 881-7320
Mailing address
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3839
(909) 881-7320
(909) 881-7330

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A529660
CA

Other

Enumeration date
04/06/2006
Last updated
10/22/2018
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