Individual
DR. JASON KONSTANTIN TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
464 LUCE AVE, UKIAH, CA 95482-5631
(707) 463-1578
Mailing address
464 LUCE AVE, UKIAH, CA 95482-5631
(707) 463-1578
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
C-3243
CA
207ZF0201X
Forensic Pathology Physician
MD-1858
HI
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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