Individual
JEREMY LEE LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2261 S WATNEY WAY, FAIRFIELD, CA 94533-6757
(707) 428-1131
Mailing address
690 MARSHALL RD, VACAVILLE, CA 95687-5433
(707) 346-9739
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/03/2026
Last updated
03/05/2026
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