Individual
DELAINA MARIE JEWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31292 ALPINE MEADOWS RD, SHINGLETOWN, CA 96088-9462
(530) 474-3390
Mailing address
31292 ALPINE MEADOWS RD, SHINGLETOWN, CA 96088-9462
(530) 474-3390
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A124669
CA
Other
Enumeration date
08/28/2008
Last updated
06/22/2021
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