Individual
JONATHAN YAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20801 S WOODWARD AVE SPC 35, MANTECA, CA 95337-9264
(209) 701-9742
Mailing address
20801 S WOODWARD AVE SPC 35, MANTECA, CA 95337-9264
(209) 701-9742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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