Individual
JERRY KITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4075 PAPAZIAN WAY STE 102, FREMONT, CA 94538-4380
(510) 584-7405
Mailing address
4075 PAPAZIAN WAY STE 102, FREMONT, CA 94538-4380
(510) 584-7405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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