Search › California › 163WE0003X
Mark Jaynes
NPI 1699128918 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9616 Shimizu River Cir
Fountain Valley, CA 92708 - Phone
- (714) 273-4414
Registry record
- Primary taxonomy
- 163WE0003X
163WE0003X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California