Individual
HOWARD JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 EUGENE ST, MILL VALLEY, CA 94941-1718
(650) 522-5702
Mailing address
22 EUGENE ST, MILL VALLEY, CA 94941-1718
(650) 522-5702
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
G51582
CA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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