Individual
GLEN ALAN JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2800 L ST, SACRAMENTO, CA 95816-5616
(510) 266-2996
Mailing address
1215 REDWOOD DR, CONCORD, CA 94520-4036
(925) 349-5091
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
803762
CA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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