Individual
JAY EVERITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 PORTOLA AVE, ESCONDIDO, CA 92026-1732
(760) 215-2183
Mailing address
1130 PORTOLA AVE, ESCONDIDO, CA 92026-1732
(760) 215-2183
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7JKZ071
CA
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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