Individual
DR. DONALD R JARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
(858) 205-5394
Mailing address
700 E REDLANDS BLVD # U269, REDLANDS, CA 92373-6143
(858) 205-5394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY126542
—
CA
Enumeration date
06/24/2006
Last updated
04/20/2009
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