Individual
MR. JERRY ANTHONY FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CALIFORNIA ST, EUREKA, CA 95501-1621
(707) 443-8322
Mailing address
904 G ST, EUREKA, CA 95501-1829
(707) 443-8322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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