Individual
JESSE W VOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1575 S RAILROAD AVE, CRESCENT CITY, CA 95531-6821
(707) 464-8335
(707) 464-8339
Mailing address
1575 S RAILROAD AVE, CRESCENT CITY, CA 95531-6821
(707) 464-8335
(707) 464-8339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083953
NCCPA LIC NUMBER
CA
01
—
PA19884
PA LIC NUMBER
CA
Enumeration date
09/10/2008
Last updated
06/11/2019
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