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Timothy De Jurnett
NPI 1811588668 · on the registry since 2021
Practice
- Address
- 4422 N Banner Dr Apt 4
Long Beach, CA 90807 - Phone
- (323) 849-9809
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-02
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