Individual
GIOVANNI JAX HARFOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.E.
Contact information
Practice address
1620 PACHECO BLVD STE C, MARTINEZ, CA 94553-1977
(925) 594-3039
Mailing address
362 EASTGATE LN, MARTINEZ, CA 94553-6530
(925) 594-3039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9701
CA
Other
Enumeration date
12/09/2021
Last updated
06/26/2024
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