Individual
JAMES RAY DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2523 EL PORTAL DR, 103, SAN PABLO, CA 94806-3305
(510) 374-7500
Mailing address
2523 EL PORTAL DR, 103, SAN PABLO, CA 94806-3305
(510) 374-7500
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
432077
CA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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