Individual
JERRY BANAS GOLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
200 MUIR RD BLDG 4, MARTINEZ, CA 94553-4614
(408) 372-1106
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-5356
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
26260
CA
Other
Enumeration date
02/14/2019
Last updated
12/30/2021
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