Individual
JORGE ZATARAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1358 N NORTHSTAR AVE, COLTON, CA 92324-6633
(951) 377-2037
Mailing address
14050 CHERRY AVE STE R, FONTANA, CA 92337-2002
(951) 377-2037
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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