Jeremy Bagaoisan
NPI #1770331316 in Poway, California
Provider Information
- NPI Number
- 1770331316
- Entity Type
- Individual
- Name
- Jeremy Bagaoisan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 8, 2024
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 14249 HIGH VALLEY RD
- City
- Poway
- State
- California
- ZIP Code
- 92064-2701
- Phone
- (619) 414-0243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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