Individual
MR. JASON DAVID WETTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
6199 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-6834
(916) 726-6802
Mailing address
1437 W COLONIAL PKWY, ROSEVILLE, CA 95661-5006
(408) 674-6215
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
685799
CA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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