Individual
JEFFREY REVILLOSA FARINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 3RD AVE STE 1110, CHULA VISTA, CA 91911-1350
(619) 934-5770
(619) 391-0091
Mailing address
855 3RD AVE STE 1110, CHULA VISTA, CA 91911-1350
(619) 934-5770
(619) 391-0091
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
06/04/2025
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