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Individual

JEFFREY A STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7733 GINGERBLOSSOM DR, CITRUS HEIGHTS, CA 95621-1919
(916) 745-4664
(916) 745-4664
Mailing address
PO BOX 582165, ELK GROVE, CA 95758-0037
(707) 704-0357
(916) 745-4664

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
85-2000467
CA

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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