Individual
JHAREN GINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19263 FOXTAIL LANE, RIVERSIDE, CA 92508
(951) 236-3099
Mailing address
19263 FOXTAIL LN, RIVERSIDE, CA 92508-6012
(951) 236-3099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50505
CA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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