Individual
JEAN LACOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
191 E ALESSANDRO BLVD STE 9A, RIVERSIDE, CA 92508-5095
(951) 780-3300
(951) 672-9635
Mailing address
191 E ALESSANDRO BLVD STE 9A, RIVERSIDE, CA 92508-5095
(951) 780-3300
(951) 672-9635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
16666
CA
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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