Individual
JASMIT K METLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 672-1432
Mailing address
2253 DANCING PENNY WAY, SANTA ROSA, CA 95403-8157
(707) 326-1987
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33208
CA
Other
Enumeration date
03/20/2018
Last updated
03/28/2022
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