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Search › California › 225100000X

Jefferson David

NPI 1699346957 · on the registry since 2021 · sole proprietor

Practice

Address
300 Fountaingrove Pkwy
Santa Rosa, CA 95403
Phone
(707) 359-5005
Organisation at this address
Asrf, Llc
Emericare Inc
Lcs Santa Rosa Llc
Hcp Santa Rosa Ca Opco, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 34 Randall Ln Unit B, Santa Rosa, CA
  • 725 Grove St, Healdsburg, CA

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-09

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