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Mark Jason Joel San Jose
Acute Care Nurse Practitioner in Fontana, California
NPI 1043082233

Mark Jason Joel San Jose is an Acute Care Nurse Practitioner based in Fontana, CA and is specialized in Acute Care. Mark Jason Joel San Jose practices in Fontana, CA. The NPI Number for Mark Jason Joel San Jose is 1043082233 and holds a License No. 95027777 (California).

The current practice location address for Mark Jason Joel San Jose is 15960 Serenade Ln, Fontana, CA and can be reached out via phone at 847-222-3113.

Location: 15960 Serenade Ln, Fontana, CA, 92336-5076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043082233
Provider Name
Mark Jason Joel San Jose
Credential
Provider Entity Type
Individual
Gender
Male
Address
15960 Serenade Ln, Fontana, CA, 92336-5076
Phone Number
847-222-3113
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15960 Serenade Ln
City
Fontana
State
California
Zip
92336-5076
Phone Number
847-222-3113
Fax Number
person
Provider Business Mailing Address Details
Address
15960 Serenade Ln
City
Fontana
State
California
Zip
92336-5076
Phone Number
847-222-3113
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
95027777 (California)
Definition
Definition to come...
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