Organization
JEFFERSON SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MAXEDON (CHIEF BUSINESS OFFICER)
(209) 836-2766
Entity
Organization
Contact information
Practice address
1219 WHISPERING WIND DR, TRACY, CA 95377-8269
(209) 836-2766
(209) 832-8515
Mailing address
1219 WHISPERING WIND DR, TRACY, CA 95377-8269
(209) 836-2766
(209) 832-8515
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SS3968544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS3968544
—
CA
Enumeration date
01/29/2007
Last updated
08/22/2020
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