Individual
JONATHAN DETRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMPSS
Contact information
Practice address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(619) 442-0277
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IKOPJG
CA
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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