Individual
JAKE AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 3RD ST, NORCO, CA 92860-2672
(951) 777-2178
Mailing address
4521 TEMESCAL CANYON RD APT 202, CORONA, CA 92883-4653
(951) 514-9238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50970
CA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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