Individual
JAMES DOUGLAS FEJERANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
45099 TIOGA ST, TEMECULA, CA 92592-1345
(951) 972-2214
Mailing address
45099 TIOGA ST, TEMECULA, CA 92592-1345
(951) 972-2214
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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