Individual
JONATHAN PERSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 RACE ST APT 4204, SAN JOSE, CA 95126-5155
(503) 875-6267
Mailing address
500 RACE ST APT 4204, SAN JOSE, CA 95126-5155
(503) 875-6267
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
179068
CA
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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