Individual
MR. JEROD PAUL HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
18217 HALE AVE, MORGAN HILL, CA 95037-3550
(408) 465-8280
(408) 465-8281
Mailing address
18217 HALE AVE, MORGAN HILL, CA 95037-3550
(408) 465-8280
(408) 465-8281
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35968
CA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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