Individual
DR. SANJEEV JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.; PHD
Contact information
Practice address
1152 DOUGLAS ST, LONGVIEW, WA 98632-2452
(360) 940-0880
(844) 697-8702
Mailing address
43575 MISSION BLVD, #716, FREMONT, CA 94539-5831
(360) 609-7077
(510) 744-9959
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
G88329
CA
207K00000X
Allergy & Immunology Physician
Primary
MD00040042
WA
207K00000X
Allergy & Immunology Physician
MD162938
OR
Other
Enumeration date
09/23/2005
Last updated
11/26/2024
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