Individual
DEBRA NYLAND JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
840 LOZANOS RD, NEWCASTLE, CA 95658-9531
(916) 704-1102
Mailing address
840 LOZANOS RD, NEWCASTLE, CA 95658-9531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RW5277
CA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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