Individual
JEREMY VERANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-BC
Contact information
Practice address
13851 E 14TH ST STE 102A, SAN LEANDRO, CA 94578-2631
(510) 357-1303
Mailing address
13851 E 14TH ST STE 102A, SAN LEANDRO, CA 94578-2631
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95001078
CA
Other
Enumeration date
11/04/2014
Last updated
04/15/2023
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