Individual
JASON HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12141 BROOKHURST ST, GARDEN GROVE, CA 92840-2865
(714) 296-1934
Mailing address
12141 BROOKHURST ST, GARDEN GROVE, CA 92840-2865
(714) 296-1934
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IDHWCF
CA
Other
Enumeration date
12/07/2018
Last updated
07/07/2023
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