Individual
JEFFERY LAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 MAGNOLIA AVE, PIEDMONT, CA 94611-4029
(510) 301-1391
(510) 632-6258
Mailing address
6000 MONADNOCK WAY, OAKLAND, CA 94605-1708
(510) 301-1391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
PT-140251
CA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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