Individual
JARED ALEXANDER BROKLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6913 WEDDIGEN WAY, NORTH HIGHLANDS, CA 95660-3526
(916) 548-0874
Mailing address
6913 WEDDIGEN WAY, NORTH HIGHLANDS, CA 95660-3526
(916) 548-0874
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
749309
CA
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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