Individual
MR. EMANUEL JEAN-PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5574 GALASSO AVE, FONTANA, CA 92336-5921
(310) 855-4105
Mailing address
5574 GALASSO AVE, FONTANA, CA 92336-5921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17374
CA
Other
Enumeration date
02/26/2007
Last updated
10/06/2015
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