Jonathan Allen San Luis
Jonathan Allen San Luis is a Nurse Practitioner in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
8710 Monroe Ct Ste 200Rancho Cucamonga, CA 91730-4884
Phone: (909) 481-9515
Fax: (909) 481-9520
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 95028524 (CA) |
|---|
Record details
| NPI number | 1073383857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 3, 2024 |
| Last updated in NPPES | January 3, 2024 |
| Certification date | January 3, 2024 |
| Mailing address | 8710 Monroe Ct Ste 200, Rancho Cucamonga, CA 91730-4884 |
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