Individual
JAY RICAFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3625 BETTMAN WAY, SOUTH SAN FRANCISCO, CA 94080-5203
(650) 296-2685
(650) 878-5674
Mailing address
3625 BETTMAN WAY, SOUTH SAN FRANCISCO, CA 94080-5203
(650) 296-2685
(650) 878-5674
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A2145112
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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