Individual
JEFF EDWARD STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 476-0567
Mailing address
119 BERENDOS AVE, PACIFICA, CA 94044-3109
(415) 713-4591
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
000063
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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