Individual
JERRY THRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38400 SAN IGNACIO RD, HEMET, CA 92544-9488
(951) 767-2575
(951) 767-0951
Mailing address
PO BOX 890341, TEMECULA, CA 92589-0341
(951) 767-2575
(951) 767-0951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01-075707
CA
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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