Jack Theodore Ezzedine
NPI #1053137513 in Alhambra, California
Provider Information
- NPI Number
- 1053137513
- Entity Type
- Individual
- Name
- Jack Theodore Ezzedine
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 1000 S FREMONT AVE
- City
- Alhambra
- State
- California
- ZIP Code
- 91803-8800
- Phone
- (626) 457-4240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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