Jacklyn Jean Cupp
NPI #1598577215 in Claremont, California
Provider Information
- NPI Number
- 1598577215
- Entity Type
- Individual
- Name
- Jacklyn Jean Cupp
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 21, 2025
- Last Updated
- Feb 20, 2025
Practice Location
- Address
- 101 BUCKNELL AVE UNIT 345
- City
- Claremont
- State
- California
- ZIP Code
- 91711-4944
- Phone
- (714) 310-2025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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