Individual
JASON DEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
(650) 572-9347
Mailing address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
(650) 572-9347
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN696582
CA
Other
Enumeration date
02/08/2008
Last updated
05/27/2021
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