person
Mr. Jesse Ingram JR., PA-C
Surgical Physician Assistant in Fontana, California
NPI 1851512560

Jesse Ingram JR. is a Surgical Physician Assistant based in Corona, CA and is specialized in Surgical. Jesse Ingram JR. practices in Fontana, CA and has the professional credentials of PA-C. The NPI Number for Jesse Ingram JR. is 1851512560 and holds a License No. PA13419 (California).

The current practice location address for Jesse Ingram JR. is 9985 Sierra Ave, Fontana, CA and can be reached out via phone at 909-427-5525 and via fax at 909-427-7602.

Location: 9985 Sierra Ave, Fontana, CA, 92879-8234
person
Provider Profile Details
NPI Number
1851512560
Provider Name
Jesse Ingram JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
9985 Sierra Ave, Fontana, CA, 92879-8234
Phone Number
909-427-5525
Fax Number
909-427-7602
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9985 Sierra Ave
City
State
Zip
92335-6720
Phone Number
909-427-5525
Fax Number
909-427-7602
person
Provider Business Mailing Address Details
Address
9985 Sierra Ave
City
State
Zip
92335-6720
Phone Number
909-427-5525
Fax Number
909-427-7602
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA13419 (California)
Definition
Definition to come...
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