Individual
JERRY W HORNER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH SERVICES TECH
Contact information
Practice address
599 TOMALE RD, BLDG 125 ROOM 106, PETALUMA, CA 94952
(707) 765-7524
(707) 765-7495
Mailing address
404C UTAH DR, PETALUMA, CA 94952
(707) 765-7524
(707) 765-7495
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
DC
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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