Individual
ANDREW JAGGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7131 LEIGHTON DR, EASTVALE, CA 92880-3988
(805) 738-8236
Mailing address
7131 LEIGHTON DR, EASTVALE, CA 92880-3988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51554
CA
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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