Individual
JASON KRISHNA POFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
991 PARALLEL DR, LAKEPORT, CA 95453-5720
(707) 263-4338
Mailing address
10555 SUNSET RIDGE DR, KELSEYVILLE, CA 95451-9502
(707) 278-7080
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN226258
CA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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