Individual
JEPH A SOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
11833 BAXTER QUARRY ROAD, COLUMBIA, CA 95310-0978
(209) 533-3838
(209) 533-3838
Mailing address
PO BOX 978, COLUMBIA, CA 95310-0978
(209) 533-3838
(209) 533-3838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CA577611
CA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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