Individual
JEROME ARZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA PPS CREDENTIAL
Contact information
Practice address
217 REX AVE, JACKSON, CA 95642-2020
(209) 304-7870
Mailing address
217 REX AVE, JACKSON, CA 95642-2020
(209) 304-8780
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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