Individual
GEORGE GENE JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 SOQUEL AVE, SANTA CRUZ, CA 95062-7805
(831) 540-4141
Mailing address
9925 DEL SURF LN, ELK GROVE, CA 95757-2555
(415) 528-0973
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
687350
CA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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