Individual
JASON IMIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
201404613LPN
OR
164X00000X
Licensed Vocational Nurse
Primary
748796
CA
Other
Enumeration date
01/30/2015
Last updated
03/16/2026
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