Individual
MR. JEFFREY SUMNER MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(360) 477-8679
Mailing address
2810 S OAK ST, PORT ANGELES, WA 98362-6921
(360) 477-8679
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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