Individual
JESSE ZACHARIAH GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2000
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21996
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
05/31/2024
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