MR. Jesus E Juarez Casillas

NPI #1003496969 in Fontana, California

Provider Information

NPI Number: 1003496969
Entity Type: Individual
Name: MR. Jesus E Juarez Casillas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 13, 2021
Last Updated: Dec 10, 2021

Practice Location

Address: 17234 VALLEY BLVD
Address 2: BUILDING A
City: Fontana
State: California
ZIP Code: 92335-6720
Phone: (909) 427-4128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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