NPI 1003519240

Jesus Jacob Trevino

Practitioner Other Technician Imperial, CA

Practice location

Address: 295 Mustang CT, Imperial, CA 92251-2086
Phone: (760) 886-1963

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in California →

Registry record

NPI: 1003519240
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2023
Record last updated: 27 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.