Individual
JEREMY WURZBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 OAK AVE, CLOVIS, CA 93611-0317
(510) 364-9874
Mailing address
1324 OAK AVE, CLOVIS, CA 93611-0317
(510) 364-9874
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95108672
CA
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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