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Individual

ESMERALDA JAZMIN GARRIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(909) 828-3258
Mailing address
14698 LONG VIEW DR, FONTANA, CA 92337-2841
(909) 828-3258

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA61867
CA
363A00000X
Physician Assistant
Primary
PA61867
CA

Other

Enumeration date
10/26/2022
Last updated
12/30/2024
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