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Jerryper Colegado
Acute Care Nurse Practitioner in Loma Linda, California
NPI 1063674307

Jerryper Colegado is an Acute Care Nurse Practitioner based in Loma Linda, CA and is specialized in Acute Care. Jerryper Colegado practices in Loma Linda, CA. The NPI Number for Jerryper Colegado is 1063674307 and holds a License No. 16076 (California).

The current practice location address for Jerryper Colegado is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-8514.

Location: 11234 Anderson St, Loma Linda, CA, 92354-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063674307
Provider Name
Jerryper Colegado
Credential
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St, Loma Linda, CA, 92354-2804
Phone Number
909-558-8514
Fax Number
Provider Enumeration Date
06/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-8514
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-8514
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.
16076 (California)
Definition
Definition to come...
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