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Individual

PATRICK JEFFRIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805
(626) 684-0571
Mailing address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
MPPS-AXUHFQ
CA
225400000X
Rehabilitation Practitioner

Other

Enumeration date
03/08/2010
Last updated
03/13/2024
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