Individual
EMMELYNN ROSE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2178
Mailing address
11217 SAN JUAN ST, LOMA LINDA, CA 92354-3215
(530) 400-7704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53932
CA
Other
Enumeration date
06/10/2016
Last updated
11/08/2016
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