Individual
JACOB GUEVARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 GREEN RIVER RD STE 114, CORONA, CA 92878-2306
(951) 382-4238
Mailing address
505 BELLOWS CT, DIAMOND BAR, CA 91765-1871
(909) 282-5357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52378
CA
Other
Enumeration date
06/22/2023
Last updated
06/24/2023
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