Individual
JESSICA LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
857 COYOTE DR, WALNUT, CA 91789-1445
(909) 538-9863
Mailing address
857 COYOTE DR, WALNUT, CA 91789-1445
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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